ASGE DDW Videos from Around the World | 2025-DOUBLE DUTY UTILIZING A PEG TUBE TO ADDRESS GASTRO-GASTRIC FISTULA AND BILIARY DRAINAGE IN A POST ROUX-EN-Y PATIENT

DOUBLE DUTY UTILIZING A PEG TUBE TO ADDRESS GASTRO-GASTRIC FISTULA AND BILIARY DRAINAGE IN A POST ROUX-EN-Y PATIENT

Video Transcription

Video Summary

A 62-year-old woman with a gastrogastric fistula following gastric bypass surgery experienced complications such as aspiration. Previous surgical and endoscopic interventions were unsuccessful long-term. A novel endoscopic technique was employed using a 24 French PEG tube, directly addressing the fistula by securing it with an overstitch device and sutures. This method effectively managed bile reflux by connecting the tube to the roux limb, facilitating drainage. Post-procedure evaluations showed no fistula, and at follow-ups, the patient was symptom-free. This approach offers a promising treatment for managing refractory gastrogastric fistulas after gastric bypass surgery.

Asset Subtitle

Video Plenary Session II
Preeyati Chopra

Keywords

gastrogastric fistula

gastric bypass complications

endoscopic technique

bile reflux management

PEG tube intervention