ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC APPROACHES FOR POST ROUX-EN-Y GASTRIC BYPASS LEAKS: HOW TO CHOOSE THE BEST TOOL FOR EACH TASK

ENDOSCOPIC APPROACHES FOR POST ROUX-EN-Y GASTRIC BYPASS LEAKS: HOW TO CHOOSE THE BEST TOOL FOR EACH TASK

Video Transcription

Video Summary

The video discusses the endoscopic approach for managing leaks after Roux-en-Y gastric bypass surgery. Obesity and associated comorbidities are a global health issue, and bariatric surgery is the most effective treatment. However, leaks can occur in a small percentage of patients, requiring a multidisciplinary approach, including endoscopic intervention. The choice of endoscopic approach depends on factors like leak time, defect size and location, device availability, patient acceptance, and local experience. The video presents a case study of a patient with a leak in the anastomosis, discussing different endoscopic techniques, their advantages, disadvantages, and mechanisms of action. Treatment involves systemic management, drainage, and defect repair, with various endoscopic options available. The video emphasizes the importance of following the four pivotal steps and highlights the role of close follow-up and multidisciplinary management in leak treatment after bariatric surgery.

Asset Subtitle

World Cup
Authors: Alexandre M. Bestetti, Eduardo G. De Moura, Bruno Salomao Hirsch, Pedro Henrique Boraschi Vieira Ribas, Victor L. de Oliveira, João Guilherme Ribeiro Jordão Sasso, Diogo T. De Moura

Keywords

endoscopic approach

leaks

Roux-en-Y gastric bypass surgery

bariatric surgery

multidisciplinary approach