ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC FULL THICKNESS SUTURING AND ARGON ABLATION FOR GERD SYMPTOMS ON PATIENT POST ONE ANASTOMOSIS GASTRIC BYPASS SURGERY

ENDOSCOPIC FULL THICKNESS SUTURING AND ARGON ABLATION FOR GERD SYMPTOMS ON PATIENT POST ONE ANASTOMOSIS GASTRIC BYPASS SURGERY

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Video Transcription

Video Summary

A novel endoscopic procedure was performed on a 55-year-old female with GERD following a 1-anastomosis gastric bypass, aiming to manage acid reflux caused by a dilated gastric fundus. The technique involved full-thickness suturing and argon plasma coagulation (APC) to reduce the gastric fundus size, promoting a durable repair and alleviating reflux symptoms. Post-procedure, the patient experienced complete resolution of heartburn, was off proton pump inhibitors, and maintained her nutritional status with minimal weight loss. This endoscopic approach offers a promising, minimally invasive solution for GERD in post-bariatric surgery patients, though further validation is needed.

Asset Subtitle

Maryam Al Khatry

Meta Tag

Concept One-Anastomosis Gastric Bypass

Concept Reflux

Concept Bile Reflux

Concept Acid Reflux

Concept Endoscopic Therapy

Keywords

endoscopic procedure

GERD management

gastric bypass

argon plasma coagulation

minimally invasive

One-Anastomosis Gastric Bypass

Reflux

Bile Reflux

Acid Reflux

Endoscopic Therapy