SAGES TV: Home of SAGES Surgical Videos

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Difficult to Identify Gastro-gastric Fistula

This video shows a 1 cm gastro-gastric fistula following Roux-en-Y gastric bypass that was missed on prior endoscopy due to its location high on the greater curve side of the gastric pouch. The fistula was identifed in retroflex postion using water soluable contrast and fluoroscopy. It was traversed using a diagnostic gastroscope. Retroflexed views from […]

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Eroded Gastric Band

This video shows the retroflexed view of an adjustable gastric band placed for morbid obesity. The patient was asymptomatic, but had evidence of full thickness erosion of a small portion of the band. This video demonstrates the importance of complete inspection of the band in retroflex view, as this finding was not visualized on the […]

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Eroded Suture after Gastric Bypass

This video shows eosion of prolene suture in the posterior portion of the gastro-jejunal anastomosis after roux-en-y gastric bypass.

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Esophagitis and Retained Food In Stomach from Gastroparesis

This video demonstrates Grade D reflux esophagitis and reained food within the body of the stomach in a patient with severe gastroparesis. A decompressive gastrostomy tube can also be seen.

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Esophagogastrostomy Stricture

This video demonstrates a stricture at the esophagogastrostomy site

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Fully Covered Stent after Gastric Bypass

This video shows the endoscopic view of a fully covered self expanding metal stent placed in a patient with a Roux-en-y gastric bypass who had a gastro-jejunal anastomotic leak

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Fundic Gland Polyps

This video shows mutliple small fundic gland type polyps associated with proton pump inhibitor use.

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Fundic Gland Polyps – 2

This video shows a small fundic gland type polyp associated with proton pump inhibitor use that was identified on retroflexed view of the gastric fundus.

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Gastric Adenocarcinoma

This video demonstrates a proximal gastric adenocarcinoma as seen on retroflexed views. Minor bleeding from biopsy sites is seen. This patient has a history of gastric varices and these are also seen.

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Gastric Bypass Following Stent Removal

This video shows the endoscopic view of a roux-en-y gastric bypass following the removal of a fully covered self expanding metal stent that was placed for an anastomotic leak. There is edema and granulation tissue present at the location of the proximal and distal stent margins.