Endoscopic ultrasound-guided gastroenterostomy to treat obstructive gastric twist after laparoscopic sleeve gastrectomy.
(2024) Endoscopy — Vol. 56, n° S 01, p. E591-E592 (2024)
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- Abstract
- Sleeve gastrectomy is the number one bariatric surgical intervention worldwide to treat morbid obesity. The rate of gastric stenosis after sleeve gastrectomy is around 2 to 4%. A gastric twist represents a functional gastric stenosis. Endoscopic management with pneumatic dilation or stent is proposed as first-line therapy. In case of failure, a surgical conversion to Roux-en-Y gastric bypass (RYGB) is performed. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) using an oroenteric catheter is a new approach to treat a benign gastric outlet obstruction (GOO). We report the case of a patient with a gastric twist after laparoscopic sleeve gastrectomy successfully treated with EUS-GE after failure of repeat endoscopic dilatation. [...]
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Citations
Monino, L., Deswysen, Y., Thoma, M., Deprez, P., & Moreels, T. (2024). Endoscopic ultrasound-guided gastroenterostomy to treat obstructive gastric twist after laparoscopic sleeve gastrectomy. Endoscopy, 56(S 01), E591-E592. https://doi.org/10.1055/a-2333-9183 (Original work published 2024)