9th Annual Association for Bariatric Endoscopy (ABE) Meeting | May 2024 ABEAM2024-Reversal of ESG: When and How + Panel Discussion

Pdf Summary

The presentation by Dr. Andrew Canakis from the University of Maryland Medical Center discusses the reversal of endoscopic sleeve gastroplasty (ESG) in a case study involving a 33-year-old female who underwent ESG for morbid obesity and diabetes. Despite initial improvements, she experienced persistent symptoms of delayed gastric emptying, leading to malnutrition. However, after the reversal of ESG, the patient showed significant improvement within a week, tolerating a solid diet without any complications like perforation or bleeding. At two months post-reversal, symptoms of gastric outlet obstruction resolved, and nutrient deficiencies improved without the need for further endoscopy due to the absence of symptoms. <br /><br />The presentation concludes that endoscopic reversal of ESG is feasible when necessary, emphasizing the importance of precise cutting along the thinnest part of the bridge, availability of tools and skills to manage any potential perforations, and closure of mucosal defects post-reversal to prevent bleeding and tissue bridge reformation. Dr. Canakis credits Dr. Andrew Storm for his contribution to the acknowledgement. This case study highlights the successful management of complications post-ESG through timely and precise interventions, ultimately improving the patient's symptoms and quality of life.

Asset Subtitle

Andrew Canakis, DO

Keywords

ESG

endoscopic sleeve gastroplasty

reversal

case study

morbid obesity

diabetes

gastric emptying

malnutrition

nutrient deficiencies

complications