Endoscopic rescue of anastomotic dehiscence after urgent gastric bypass revision

Post written by Steven R. Siegal, MD, from AdventHealth, Orlando, Florida, USA.

Siegal_photo

We demonstrate a case of a Roux-en-Y anastomotic dehiscence that was rescued via total endoscopic means over various sessions.

It is important to know the available endoscopic tools and how they can be used in a complementary fashion to essentially perform surgical procedures.

It also is imperative to understand basic surgical concepts when performing surgical endoscopic maneuvers.

Hopefully, others can learn surgical concepts in addressing this complication and how to use endoscopic equipment to achieve a successful noninvasive resolution.

Siegal_figureInitial CT scan of the abdomen demonstrating extraluminal air both to the left (A) and anterior (B) of the gastrojejunal anastomosis, consistent with a leak.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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