ASGE DDW Videos from Around the World | 2022-BYPASS OF THE BYPASS; PITFALLS OF ENDOSCOPIC ULTRASOUND-GUIDED GASTROJEJUNOSTOMY IN A PATIENT WITH ROUX EN-Y GASTRIC BYPASS AND A FROZEN ABDOMEN

BYPASS OF THE BYPASS; PITFALLS OF ENDOSCOPIC ULTRASOUND-GUIDED GASTROJEJUNOSTOMY IN A PATIENT WITH ROUX EN-Y GASTRIC BYPASS AND A FROZEN ABDOMEN

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Video Transcription

Video Summary

The video discusses a case study of a 56-year-old female with a history of Roux-en-Y gastric bypass who experienced complications, including a gastric outlet obstruction and a gastro-gastric fistula. Due to a frozen abdomen, a endoscopic ultrasound-guided gastro-diurnal anastomosis procedure was performed to alleviate the obstruction. However, the patient developed abdominal pain and a leak at the anastomosis site. To address this, additional endoscopic procedures were conducted, including the placement of metal and plastic stents to control the leak. Although the patient experienced complications such as sepsis and respiratory failure, her condition eventually improved, and she was discharged after two months. The video emphasizes the importance of a multidisciplinary approach when managing complications in challenging anatomical cases.

Keywords

case study

gastric bypass

complications

gastro-gastric fistula

endoscopic procedures