Bariatric Endoscopy-IF AT FIRST YOU DON'T SUCCEED...A COMPLICATED COURSE OF AN ENDOSCOPIC REVERSAL OF A GASTRIC BYPASS

IF AT FIRST YOU DON'T SUCCEED...A COMPLICATED COURSE OF AN ENDOSCOPIC REVERSAL OF A GASTRIC BYPASS

Video Transcription

Video Summary

The video transcript summarizes the case of a 41-year-old female who had a complicated history of gastric bypass surgery. The initial surgical reversal of the bypass was aborted due to adhesions and bleeding. The patient underwent multiple endoscopic procedures including balloon dilations and stent placements to address stenosis and ulcers. She experienced complications such as bleeding and stent migration, requiring further interventions. Eventually, a fully covered stent was placed across a gastrogastric fistula and suturing was performed to treat recurrent ulceration. Despite these efforts, the stent also migrated and was not replaced due to chronicity. The gastrointestinal anastomosis remained closed. The case demonstrates the challenges and salvageable nature of endoscopic reversal of gastric bypass, with multiple interventions often necessary.

Asset Subtitle

Honorable Mention

Keywords

gastric bypass surgery

endoscopic procedures

balloon dilations

stent placements

gastrogastric fistula