Ariel Shuchleib1, Natan Zundel2, Elias Chousleb2. 1New York Prebyterian Queens, 2Jackson North Hospital
Background: Bariatric surgery is a very effective treatment modality for weight loss in patients with morbid obesity. However, despite being safe, complications may occur and managing those can be difficult.
Dumping syndrome is one of these complications. It’s a condition that can be challenging to manage and it may be highly debilitating.
Methods: A 77 year old female that presented with dumping symptoms that was refractory to medical treatment 10 years after having a gastric bypass. She was found to have a dilated gastrojejunostomy. The size of the stoma was reduced using the Apollo Overstitch.
Results: The patient’s symptoms resolved after the procedure and her BMI went from 32 (208 pounds) to a BMI of 28 (196 pounds). She’s still asymptomatic 6 months after the procedure.
Conclusion: When conservative management fails, an invasive intervention has to be performed. Since re-operating in these patients can be a real challenge, and the original surgery may need to be reverted with possible regain of the lost weight, less invasive techniques need to be developed. We are presenting a case that was managed successfully with endoscopic therapy.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77556
Program Number: P520
Presentation Session: Poster (Non CME)
Presentation Type: Poster
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