Melanie H Howell, MD, MS, John Paul Bellistri, MD, Diego R Camacho, MD. Montefiore Medical Center
51 F had undergone gastric bypass in 2003. The patient regained weight and came back complaining of epigastric pain. Multiple studies including an upper endoscopy showed the presence of gastro-gastric fistula in the anterior and lateral aspect of the gastric pouch.
Video shows cannulation of the Roux limb with the endoscope and traverse past the gastrojejunal anastomosis. Dissection of the pouch and remnant stomach, division of the fistula with a GIA stapler and then hiatal hernia repair.
The case is interesting as a teaching point about complications after RYGB surgery and subsequent repair procedures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79308
Program Number: V106
Presentation Session: Friday Exhibit Hall Video Presentations Session 3 (Non CME)
Presentation Type: EHVideo