Bariatric Endoscopy-TECHNICAL CHALLENGES AND DEVICE MALFUNCTION DURING ENDOSCOPIC SLEEVE GASTROPLASTY FOR REVISION OF LAPAROSCOPIC SLEEVE GASTRECTOMY

TECHNICAL CHALLENGES AND DEVICE MALFUNCTION DURING ENDOSCOPIC SLEEVE GASTROPLASTY FOR REVISION OF LAPAROSCOPIC SLEEVE GASTRECTOMY

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Video Transcription

Video Summary

In this video, titled "Device Malfunction During Endoscopic Sleeve Gastroplasty," a 38-year-old male patient who had previously undergone laparoscopic sleeve gastrectomy presented with weight regain. The patient was found to have a significantly dilated gastric pouch and planned for endoscopic sleeve gastroplasty. The procedure was performed using a double-channel endoscope, but encountered challenges due to severe fibrosis from the prior surgery. Despite this, the procedure was successfully completed by carefully selecting suturing sites and using a tissue helix. During the cinching process, a device malfunction occurred, but it was recognized and addressed without causing injury. The patient showed positive outcomes with weight loss at follow-up.<br /><br />Credits: <br />Authors: Dean Ehrlich, Adarsh Thakkar, Ali Reza Sadarat, Stephen Kim, Raman Muthusamy, and Danny Issa.

Asset Subtitle

Honorable Mention

Keywords

Device Malfunction

Endoscopic Sleeve Gastroplasty

Weight Regain

Double-Channel Endoscope

Fibrosis