Bariatric Endoscopy-ENDOSCOPIC REVISION OF GASTRIC BYPASS USING PLICATION TECHNIQUE: AN ADJUSTABLE APPROACH

ENDOSCOPIC REVISION OF GASTRIC BYPASS USING PLICATION TECHNIQUE: AN ADJUSTABLE APPROACH

Video Transcription

Video Summary

The video discusses the endoscopic revision of gastric bypass using the plication technique, an adjustable approach. It explains that gastric bypass is a common bariatric surgery, but many patients regain weight due to a dilated and incompetent gastrojejunal anastomosis. The video presents a case study of a 65-year-old woman who regained her pre-bypass weight and underwent endoscopic revision. The procedure involved using argon plasma coagulation and a placation device with multiple components to restrict the gastric lumen. The patient experienced weight loss but developed complications that were managed with balloon dilation and placement of a luminoposing metal stent. The video concludes that endoscopic revision using the plication technique is effective for weight loss, but stenosis should be managed carefully to avoid over-dilation. The patient lost 16% of their total weight at six months following the procedure. The video was not credited to any specific source.

Asset Subtitle

Honorable Mention

Keywords

endoscopic revision

gastric bypass

plication technique

adjustable approach

bariatric surgery