921 Cutaneo-Gastric Conduit Fistula Formation Following Oesophagectomy: A Rare Presentation of Anastomotic Leak

Abstract Anastomotic leak is a significant contributor towards postoperative morbidity and mortality following oesophagectomy occurring between 5-30%. Clinical presentation as cutaneo-gastric conduit fistula extremely rare reported in the present study. A 60-year-old woman with previous right thoracotomy lobectomy due to pneumonia underwent an Ivor Lewis for gastro-oesophageal junction adenocarcinoma. The operation was complicated by extensive adhesiolysis 2.5L of blood loss requiring intra-operative transfusion. Postoperatively patient developed acute respiratory distress syndrome (ARDS) from which she subsequently recovered. integrity anastomosis confirmed oral contrast swallow CT, after discharged. Two weeks later, readmitted right-sided chest pain swelling at distal end scar. purulent collection identified drained under interventional radiology. repeat CT revealed presence originating site. This managed endoscopic gluing gastric wall defect application self-expanding metallic stent (SEMS) that secured Apollo overstitch system prevent migration. discharged follow-up endoscopy confirming closure defect. report highlights complication oesophagectomy, associated risk factors successful management SEMS overstitch.