Endoscopic rescue of anastomotic dehiscence after urgent gastric bypass revision

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 …

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Endoscopic negative pressure therapy for upper gastrointestinal leaks

Post written by Rami Archid, MD, from the Department of General, Visceral and Transplant Surgery, Eberhard-Karls-University Hospital, Tuebingen, Germany. A 61-year-old male patient was treated for Siewert type I gastroesophageal junction adenocarcinoma. Neoadjuvant chemotherapy using FLOT regimen (5-fluorouracil, leucovorin, oxaliplatin, docetaxel) with Trastuzumab was followed by esophagectomy with cervical esophagogastrostomy. On postoperative day 3, he …

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Lumen-apposing metal stent use to maintain a surgical anastomosis

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we show the use of a lumen-opposing metal stent (AXIO stent) to maintain a stenosing gastroenterostomy in a patient with superior mesenteric artery syndrome. This video is meant to show one of …

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Over-the-scope clip for post-esophagectomy fistula

Brian S. Lim, MD, MCR from Kaiser Permanente Riverside Medical Center at the University of California Riverside School of Medicine presents this video case titled "Over-the-scope clip for closure of persistent post-esophagectomy gastric conduit fistula." A 69-year-old man had an Ivor-Lewis esophagectomy for esophageal carcinoma. On postoperative day 6, the patient developed severe chest pain; CT …

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