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

Video Transcription

Video Summary

Dr. Ali Shuman, Director of Bariatric Endoscopy and Assistant Professor of Medicine at the University of Michigan, discusses the endoscopic management of complications after bariatric surgery in a video presentation. Dr. Shuman explains that obesity rates in the United States have been increasing, resulting in an increase in obesity-related comorbidities. Bariatric surgery is the most effective treatment for obesity, but it is also invasive and carries risks of adverse events. Dr. Shuman focuses on the complications and management strategies for gastric bypass and sleeve gastrectomy procedures, which are the most commonly performed bariatric surgeries. Common complications include marginal ulceration, stenosis of the gastrointestinal anastomosis, gastro-gastric fistula, surgical leaks, and colodocal lethiasis. Dr. Shuman discusses the endoscopic treatments for these complications, such as balloon dilation, self-expanding metal stents, endoscopic suturing, and pigtail stents. He also mentions the use of endoflip to aid in the diagnosis and treatment of sleeve stenosis. Overall, Dr. Shuman emphasizes the importance of a multidisciplinary approach to managing bariatric surgery complications.

Asset Subtitle

Allison Schulman, MD, MPH

Keywords

bariatric surgery

complications

endoscopic management

gastric bypass

sleeve gastrectomy

multidisciplinary approach