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01-05-2012 | Dynamic Manuscript

Extreme bariatric endoscopy: stenting to reconnect the pouch to the gastrojejunostomy after a Roux-en-Y gastric bypass

Authors: Eduardo G. H. de Moura, Manoel P. Galvão-Neto, Almino C. Ramos, Eduardo T. H. de Moura, Thales D. Galvão, Diogo T. H. de Moura, Flávio C. Ferreira

Published in: Surgical Endoscopy | Issue 5/2012

Abstract

Background

Among the possible complications of bariatric surgery, fistula and partial dehiscence of the gastric suture are well known. Reoperation often is required but results in significant morbidity. Endoscopic treatment of some bariatric complications is feasible and efficient.

Methods

A modified metallic stent was placed between the gastroaesophageal junction and the alimentary jejunal limb, allowing the passage of a nasoenteric feeding tube into the jejunal limb.

Results

Endoscopy showed disruption of nearly the entire staple line at the gastric pouch. The modified stent was placed and allowed wound healing. After 31 days, the stent had migrated and was removed endoscopically. Total clousure of the fistula was reported 30 days afterward.

Conclusions

Endoscopic treatment of some bariatric surgery complications is feasible and has been reported previously. This report presents a case of a serious leakage treated by placement of a self-expandable metal stent to bridge the fistula.

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Title: Extreme bariatric endoscopy: stenting to reconnect the pouch to the gastrojejunostomy after a Roux-en-Y gastric bypass
Authors: Eduardo G. H. de Moura
Manoel P. Galvão-Neto
Almino C. Ramos
Eduardo T. H. de Moura
Thales D. Galvão
Diogo T. H. de Moura
Flávio C. Ferreira
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 5/2012
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-011-2060-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Extreme bariatric endoscopy: stenting to reconnect the pouch to the gastrojejunostomy after a Roux-en-Y gastric bypass

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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