ASGE International Sampler (On-Demand) | 2024-ENDOSCOPIC ULTRASOUND EUS GUIDED GASTRIC PER ORAL ENDOSCOPIC MYOTOMY G-POEM FOR THE TREATMENT OF BENIGN GASTRIC OUTLET OBSTRUCTION (GOO) IN THE REMNANT STOMACH IN A PATIENT WITH ROUX-EN-Y GASTRIC BYPASS (RYGB)

ENDOSCOPIC ULTRASOUND EUS GUIDED GASTRIC PER ORAL ENDOSCOPIC MYOTOMY G-POEM FOR THE TREATMENT OF BENIGN GASTRIC OUTLET OBSTRUCTION (GOO) IN THE REMNANT STOMACH IN A PATIENT WITH ROUX-EN-Y GASTRIC BYPASS (RYGB)

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Video Transcription

Video Summary

The video discussed a case of a 55-year-old female with benign gastric outlet obstruction post-Roux-en-Y gastric bypass. She underwent a three-stage procedure including endoscopic ultrasound-guided gastric access, stent placements, endoscopic examination, suturing, and finally a gastric peroral endoscopic myotomy. The procedure successfully resolved the obstruction, with post-procedure endoscopy showing improvement and no complications. The video highlighted the challenges of gastric outlet obstruction in Roux-en-Y gastric bypass patients due to reduced vagal efferents. The findings suggest that gastric peroral endoscopic myotomy is a safe and feasible option for treating benign gastric outlet obstruction in these patients, but further studies are needed for long-term efficacy and safety evaluation.

Asset Subtitle

Video Plenary
Sergio A. Sánchez-Luna

Keywords

gastric outlet obstruction

Roux-en-Y gastric bypass

endoscopic myotomy

stent placements

post-procedure improvement