Bariatrics and Your Practice | June 2021-Endoscopic Management of Chronic Sleeve and Gastric Bypass Fistula

Video Transcription

Video Summary

The video was a webinar presented by Dr. Diogo Moura on the endoscopic management of chronic sleeve and gastric bypass fistula. Dr. Moura discussed various treatment options for leaks and fistulas following bariatric surgery. Some of the treatment options mentioned included tissue sealants, clips, suturing, stents, and endoscopic vacuum therapy. Dr. Moura emphasized the importance of early treatment for these complications, as the success rates decrease significantly after three weeks. He also highlighted the need for a multidisciplinary approach and individualized treatment plans for each patient. Dr. Moura introduced a modified endoscopic vacuum therapy technique that is cost-effective and easier to place compared to the traditional sponge method. He also discussed the use of a cardiac septal defect occluder for chronic fistulas with an epithelial tract. The webinar concluded with a discussion on the management of gastrogastric fistulas, stating that endoscopy may not be the best option for larger fistulas and that surgery may be more appropriate. Overall, the webinar provided insights into the different treatment options and considerations for managing chronic sleeve and gastric bypass fistulas.

Meta Tag

Disease Gastric Fistula

Disease Gastric Sleeve Stenosis

Instrument & Accessory Used Over The Scope Clips

Instrument & Accessory Used Tissue Sealant

Instrument & Accessory Used Bariatric Stent

Instrument & Accessory Used Cardiac Septal Defect Occluder

Organ & Anatomy Stomach

Procedure EGD

Procedure Pnuematic Dilation

Procedure Endoscopic Drainage

Procedure Endoscopic Tunneled Stricturotomy

Keywords

endoscopic management

chronic sleeve

gastric bypass

fistula

bariatric surgery

treatment options

endoscopic vacuum therapy

multidisciplinary approach

gastrogastric fistulas