Cheyenne C Sonntag, MD, Salvatore Docimo, DO, Ann M Rogers, MD, Eric M Pauli, MD. Penn State Milton S. Hershey Medical Center
Anastomotic leak is a well-recognized complication of revisional bariatric surgery. In this case presentation, a patient with history of Roux en Y gastric bypass and refractory anastomotic ulcer disease underwent a laparoscopic conversion to a gastric sleeve. She developed anastomotic leaks, but was hemodynamically stable. We describe the total endoscopic approach to successful leak management including over-the-scope-clip application, endoscopic drain repositioning through the anastomotic defect, management of downstream obstruction and placement of distal feeding access. We aim to to highlight the ability to translate core surgical principles of leak management to a flexible endoscopic platform.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79831
Program Number: V097
Presentation Session: Bariatric Video Session
Presentation Type: Video