ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Endoscopic Management of Complications After Bariatric Surgery

Endoscopic Management of Complications After Bariatric Surgery

Video Transcription

Video Summary

In the video, Dr. Ali Shuman discusses the endoscopic management of complications after bariatric surgery. He begins by highlighting the increasing prevalence of obesity and obesity-related comorbidities in the United States. He then focuses on the four commonly performed bariatric surgical procedures, with emphasis on gastric bypass and sleeve gastrectomy. Dr. Shuman discusses the various adverse events and complications that can occur following these procedures, including marginal ulceration, stenosis of the gastrointestinal anastomosis, gastro-gastric fistula, surgical leaks, and colodocal lethiasis. He explains the etiology, diagnosis, and treatment of each complication, highlighting the role of endoscopic techniques such as balloon dilation, endoscopic suturing, and stent placement. Lastly, Dr. Shuman briefly mentions the management of complications specific to sleeve gastrectomy, including sleeve stenosis and leaks. He concludes by emphasizing the importance of a comprehensive multidisciplinary approach to managing these complications.

Asset Subtitle

Allison Schulman, MD, MPH

Keywords

endoscopic management

complications

bariatric surgery

gastric bypass

sleeve gastrectomy

endoscopic techniques