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

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.

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

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