Eliza A Conaty, BS, Stephanie M Novak, MA, Rod Avitia, Bailey Su, MD, John G Linn, MD, Michael B Ujiki, MD. NorthShore University HealthSystem
This video is a case study of an endoscopic gastrojejunal revision (EGJR) done for persistent postoperative hypoglycemia. The patient is a 61 year old female, who had undergone Roux-en-Y Gastric Bypass twelve years prior. She presented with symptomatic postprandial biweekly hypoglycemic seizures. An EGJR was recommended to provide more restriction by prolonging transit time into the roux-limb to decrease the chance of postoperative dumping syndrome and subsequent hypoglycemia. The EGJR is accomplished using the overstitch device and a purse-string suture technique. The patient was discharged same day on a bariatric postoperative liquid diet. At her six month follow up, the patient reported significant improvement in her hypoglycemia symptoms, with a complete resolution of hypoglycemic seizures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95662
Program Number: V116
Presentation Session: Bariatric IV – Quality and Outcomes
Presentation Type: Video