Keith J King, MD, Ragui Sadek, MD, FACS, Andrew M Wassef, BS, Adam Rizkalla, BS. Rutgers Robert Wood Johnson Medical School
Although Roux-en-Y gastric bypass (RYGB) surgery results in an excess weight loss reported between 65% and 85%, many studies have noted weight regain outside of 18-24 months postoperatively. One possible explanation is dilation of the gastrojejunal anastomosis allowing earlier emptying and less distention of the gastric pouch with a subsequent reduction in satiety signaling. Additionally, dilation of the gastrojejunostomy has been associated with symptoms of late dumping syndrome. Endoscopic revision of a dilated gastrojejunal anastomosis has been shown to be a safe, effective, and minimally invasive therapeutic option in addressing both weight regain and late dumping syndrome after RYGB. In this video, we discuss the technical aspects of revising the gastrojejunal anastomosis using an endoscopic suturing device (OverStitchTM, Apollo) and their implications on weight loss and control of the symptoms of late dumping syndrome.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87738
Program Number: V264
Presentation Session: Friday Video Loop (Non CME)
Presentation Type: VideoLoop
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