ASGE DDW Videos from Around the World | 2025-EUS ASSISTED GASTRIC OUTLET REMODELING IN A PATIENT WITH A REFRACTORY GASTRO-JEJUNAL ANASTAMOTIC STRICTURE. FIRST-IN-HUMAN EXPERIENCE

EUS ASSISTED GASTRIC OUTLET REMODELING IN A PATIENT WITH A REFRACTORY GASTRO-JEJUNAL ANASTAMOTIC STRICTURE. FIRST-IN-HUMAN EXPERIENCE

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Video Transcription

Video Summary

The video describes a novel endoscopic technique for treating refractory gastrojejunal anastomotic strictures in a patient with Roux-en-Y gastric bypass. This involves a two-step procedure using lumen-opposing metal stents to create a tissue bridge, followed by septotomy to widen the anastomosis. The first step places stents transmurally, creating two fistula tracts; the second removes the stents and dissects the tissue bridge, resulting in a larger anastomosis. The technique successfully treated a previously unresponsive severe stricture, potentially offering a less invasive alternative to surgery for refractory cases.

Asset Subtitle

Video Plenary Session I
Kambiz Kadkhodayan

Keywords

endoscopic technique

gastrojejunal anastomotic strictures

Roux-en-Y gastric bypass

lumen-opposing metal stents

septotomy