ASGE DDW Videos from Around the World | 2024-FULL THICKNESS ENDOSCOPIC STRICTUROTOMY IN THE MANAGEMENT OF SLEEVE GASTRECTOMY STENOSIS ASSOCIATED WITH A COMPLEX FISTULA

FULL THICKNESS ENDOSCOPIC STRICTUROTOMY IN THE MANAGEMENT OF SLEEVE GASTRECTOMY STENOSIS ASSOCIATED WITH A COMPLEX FISTULA

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Video Transcription

Video Summary

The video discusses the management of complications following laparoscopic sleeve gastrectomy, focusing on treating fistulas and stenosis. Despite technical advancements, leaks and fistulas remain common post-surgery. The case presented involves a patient with a chronic fistula and stenosis treated through endoscopic procedures like septotomy and stent placement. The patient showed improvement post-treatment, with the stent eventually being removed without recurrence of symptoms. The importance of a multidisciplinary team and comprehensive approach to managing complications like stenosis is highlighted. Endoscopic tunneled full-thickness strictorotomy is suggested as a promising alternative to surgical intervention for treating stenosis in such cases.

Asset Subtitle

World Cup
Authors: Alexandre M. Bestetti, Diogo T. De Moura, Eduardo G. De Moura

Meta Tag

Concept Endoscopy

Concept Fistula Closure

Concept Post-Laparoscopic Sleeve Gastrectomy Leak

Concept Post-Laparoscopic Sleeve Gastrectomy Fistula

Concept Sleeve Stenosis

Keywords

laparoscopic sleeve gastrectomy

complications management

fistulas treatment

stenosis treatment

endoscopic procedures

Endoscopy

Fistula Closure

Post-Laparoscopic Sleeve Gastrectomy Leak

Post-Laparoscopic Sleeve Gastrectomy Fistula

Sleeve Stenosis