ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC ULTRASOUND (EUS)-GUIDED GASTROGASTROSTOMY AND TRANSORAL OUTLET OCCLUSION (TORO) FOR ENDOSCOPIC REVERSION OF A ROUX-EN-Y GASTRIC BYPASS (RYGB) FOR MALNUTRITION AND FAILURE TO THRIVE

ENDOSCOPIC ULTRASOUND (EUS)-GUIDED GASTROGASTROSTOMY AND TRANSORAL OUTLET OCCLUSION (TORO) FOR ENDOSCOPIC REVERSION OF A ROUX-EN-Y GASTRIC BYPASS (RYGB) FOR MALNUTRITION AND FAILURE TO THRIVE

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Video Transcription

Video Summary

The video discusses the use of endoscopic ultrasound-guided gastrogastrostomy and transoral outlet occlusion for the endoscopic reversion of a Roux-en-Y gastric bypass in a patient with malnutrition and failure to thrive. The procedure is performed in a two-stage process, with the first stage involving the creation of a gastrogastrostomy using a lumen-opposing metal stent. The second stage involves the occlusion of the gastrojejunal anastomosis using endoscopic sutures. The video highlights the successful completion of the procedure, with the patient experiencing weight regain and improved nutritional parameters. Larger studies are needed to further evaluate the long-term efficacy and safety of this approach. No credits were mentioned in the transcript.

Asset Subtitle

Video Plenary
Authors: Sergio A. Sánchez-Luna, Ramzi Mulki, Diogo T. De Moura, Eduardo G. De Moura, Pichamol Jirapinyo, Christopher C. Thompson, Violeta Popov

Keywords

endoscopic ultrasound-guided gastrogastrostomy

transoral outlet occlusion

endoscopic reversion

Roux-en-Y gastric bypass

malnutrition