ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | 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

In this webinar on endoscopic management of chronic sleeve and gastric bypass fistula, Dr. Diogo Moura discusses the various techniques and approaches used to treat leaks and fistulas in bariatric surgery patients. He explains that while bariatric surgery is effective in treating obesity and associated comorbidities, adverse events such as leaks and fistulas can occur. The rates of these complications vary between centers, and it is important to treat them quickly to reduce the risk of mortality. Dr. Moura discusses the different definitions of leaks and fistulas, as well as their causes and locations in the body. He emphasizes the importance of early treatment for leaks, as the rates of clinical success decrease after three weeks. Dr. Moura discusses various endoscopic techniques for treating leaks and fistulas, including tissue sealants, clips, suturing, stents, cardiac septal defect occluders, and draining techniques such as double pigtail stents, septotomy, and endoscopic vacuum therapy. He explains the benefits and limitations of each technique, and provides examples and outcomes from his own experience. Dr. Moura stresses the importance of individualized approaches and a multidisciplinary team in treating these complex patients. The webinar ends with information about the Bariatric Endoscopy Life Global course, which provides live demonstrations of bariatric endoscopy procedures from centers of excellence around the world.

Keywords

endoscopic management

chronic sleeve

gastric bypass fistula

bariatric surgery

leaks

fistulas

treatment techniques

adverse events

multidisciplinary team