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Extreme bariatric endoscopy: stenting to reconnect the pouch to the gastrojejunostomy after a Roux-en-Y gastric bypass.
de Moura, Eduardo G H; Galvão-Neto, Manoel P; Ramos, Almino C; de Moura, Eduardo T H; Galvão, Thales D; de Moura, Diogo T H; Ferreira, Flávio C.
Afiliação
  • de Moura EG; Gastroenterology Department, University of São Paulo, Rua Ana Vieira de Carvalho 362/15, São Paulo, 05679-065, Brazil. eduardoghdemoura@gmail.com
Surg Endosc ; 26(5): 1481-4, 2012 May.
Article em En | MEDLINE | ID: mdl-22179450
BACKGROUND: Among the possible complications of bariatric surgery, fistula and partial dehiscence of the gastric suture are well known. Reoperation often is required but results in significant morbidity. Endoscopic treatment of some bariatric complications is feasible and efficient. METHODS: A modified metallic stent was placed between the gastroaesophageal junction and the alimentary jejunal limb, allowing the passage of a nasoenteric feeding tube into the jejunal limb. RESULTS: Endoscopy showed disruption of nearly the entire staple line at the gastric pouch. The modified stent was placed and allowed wound healing. After 31 days, the stent had migrated and was removed endoscopically. Total closure of the fistula was reported 30 days afterward. CONCLUSIONS: Endoscopic treatment of some bariatric surgery complications is feasible and has been reported previously. This report presents a case of a serious leakage treated by placement of a self-expandable metal stent to bridge the fistula.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Stents / Gastroscopia Tipo de estudo: Etiology_studies Limite: Adult / Female / Humans Idioma: En Revista: Surg Endosc Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Stents / Gastroscopia Tipo de estudo: Etiology_studies Limite: Adult / Female / Humans Idioma: En Revista: Surg Endosc Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha