ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC LAPAROSCOPIC MAGNETIC DUODENO ILEOSTOMY

ENDOSCOPIC LAPAROSCOPIC MAGNETIC DUODENO ILEOSTOMY

Video Transcription

Video Summary

In this video, the surgeon discusses a patient who had a previous sleeve gastrectomy and cholecystectomy. The patient's body mass index is 39, and the surgeon proposes a laparoscopic endoscopic magnetic side-to-side duodenal ileostomy as a second stage procedure. The surgeon explains the importance of clearing adhesions from the previous cholecystectomy to ensure a free duodenum. The surgeon then demonstrates the procedure, using laparoscopic and endoscopic images. The magnets are inserted into the duodenum and ileum, and the position is carefully adjusted. Finally, the surgeon closes the mesenteric defect to prevent an internal hernia. The magnets will compress and eventually pass through the stool over the next few weeks.

Asset Subtitle

Honorable Mention

Keywords

laparoscopic endoscopic magnetic side-to-side duodenal ileostomy

adhesions

magnets

mesenteric defect

internal hernia

verdeyen