Shintaro Chiba, MD, Anthony Dellituri, MD, Igor Brichkov, MD, Danny Sherwinter. Maimonides Medical Center
This is a 34 year old female with a BMI of 37.9 and PMHx of morbid obesity and sleep apnea who had a laparoscopic sleeve gastrectomy and hiatal hernia repair. Patient was readmitted for dysphagia secondary to intra-thoracic sleeve migration (ITSM). Esophageal stent was used to “mold” the hiatus and the sleeve gastrectomy into the reduced position. Four weeks after the stent placement, the stent was removed. Esophageal outlet was noted to be widely patent without the stent in place with easy passage of fluid injected through the gastroscope. The patient did not have any complications after the stent removal and she is currently tolerating regular diet without any dysphagia or vomiting. This is the first report of its kind which ITSM was treated purely endoscopically with esophageal stent placement.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88389
Program Number: V282
Presentation Session: Friday Video Loop (Non CME)
Presentation Type: VideoLoop