ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Endoscopic Management of Chronic Sleeve and Gastric Bypass Fistula (On-Demand)

Endoscopic Management of Chronic Sleeve and Gastric Bypass Fistula (On-Demand) | April 2021

Video Transcription

Video Summary

This webinar was presented by Dr. Diogo Moura on the endoscopic management of chronic sleeve and gastric bypass fistula. He discussed the various techniques and approaches used to treat these complications after bariatric surgery. Dr. Moura emphasized the importance of early treatment and the use of drainage techniques such as double pigtail stents and endoscopic vacuum therapy. He also discussed other treatment options including tissue sealants, clips, suturing, and the use of the cardiac septal defect occluder. Dr. Moura highlighted the benefits and limitations of each approach, and stressed the need for a multidisciplinary approach in the management of these patients. He also shared his experience with modified endoscopic vacuum therapy, which has proved to be an effective and cost-efficient alternative to the conventional sponge. Overall, the webinar provided valuable insights and recommendations for the endoscopic management of chronic sleeve and gastric bypass fistula.

Keywords

endoscopic management

fistula

complications

bariatric surgery

drainage techniques

endoscopic vacuum therapy

multidisciplinary approach

modified endoscopic vacuum therapy

recommendations