Acute Complications: Endoscopic Treatment of Leaks After Bariatric Surgery


Presented by Manoel Galvao Neto, MD at the SAGES 2014 Meeting; Panel – Endoscopic Management of Bariatric Complications

therapeutic endoscopy–2:42
bariatric endoscopy–2:54
RYGB leaks and fistulas endoscopic approach with citation–3:17

Keyword(s): 15 degrees, 25 psi, abdominal sepsis, absorbable stents, achalasia balloon, ACS, ACS-BSCN accredited centers, acute complications, acute proximal leak, advances, age, aggressive dilation, air, air leak, align, alligator grasper, anastomosis, anastomotic leak, anastomotic leak outcomes, Angle of His, angular incisure, Annals of Surgery, antrum, Apollo Endo, attempt, axis of deviation, balloon dilation, band, bariatric endoscopy, bariatric endoscopy chapter, bariatric specific complication rates, bariatric surgery leaks, bariatric upper leaks, bend, best practice guidelines, bleeding, BMI, bowel, Brazil, Brazilian DDW, Brazilian Society of Bariatric Surgery, break, BSCN, bylaws, bypass, cadaver, cautery, cavity, change the anatomy, chronic complications, chronic leaks, clinical conditions, clinical management, clip, clips, colon, compare, complementary procedures septotomy, conference presentations, conscious sedation, console, conversion, corkscrew like, correct the axis, correct the flow, cover the hole, cut from inside to outside, cutting line, cutting side, degradable stents, demographic data, design needs, diabetes, different thickness, difficult to remove, dilate first, discontinuity of tissue aposition, dislodge, dislodge guidewire, dislodged, drain, duodenum, dx and contemporary management, dynamic manuscript, early drainage, early stenting, easy insertion, easy to remove, effectiveness, EGJ, electrolyte depletion, EMR, EndoBarrier, endolumenal strategy, endolumenal tx, Endoscopia Cirurgia da Obesidade, endoscopic anatomy, endoscopic approach, endoscopic balloon dilation, endoscopic clips, endoscopic dilation, endoscopic dogma, endoscopic image, endoscopic management and prevention, Endoscopic Management of Bariatric Complications, endoscopic management of SG complications, endoscopic procedures, endoscopic session, endoscopic tx, endoscopic tx of leaks and fistulas after bariatric surgery, endoscopy, esophagus, Esophix, Ethicon Endosurgery, evaluation, extreme bariatric endscopy, extreme leaks, failed attempt, failed conservative therapy, feeding path, first report, fistula closure, fistula endolumenal tx, fistula location, fistula site, fixed position, flow, fluid depletion, full day course, full membership, full text analysis, fully covered stent, G-J stenosis, gastro-broncheal fistula, gastro-cutaneous fistula, gastro-gastric fistula, gastrojejunal stoma diameter, gastrostomy, GB endoscopy, GBF, general anesthesia, general status improvement, GERD, GI Dynamics, GJ, GJ anastomosis, glue, good results, grasp, guidewire, Hanaro/Choo, hard to recognize, heal, healing rate, healing time, high leaks, high risk, hiperpressive system, His angles vascular supply, HTN, hydrostatic dilation, ideal shape, immediate post-op period, immediate surgical review, impaired healing, implant, improvement, incidence, incisura, infection, inflating, international consultant, International SG expert panel consensus statement, intraluminal clips, intraluminal pressure, ischemic, ischemic leaks, kinks, Korean stent, laparoscopic, laparoscopy, laparotomy, layers of muscle, leak flow, leak management, leak site, leaks, learning objectives, left lateral position, limited utility, lit review, location, longest staple line, LRYGB, LSG, LSG volume and pressure assessment, lumen, lung abscess, LUQ, major tissue reaction, male gender, malignancies, measure, mechanical leaks, men, mesh, metallic single covered Nitinol stents, metallic single covered stents, minimally invasive, minor complications, morbid obesity, morbidity, mortality, mucosal layer, muscular layer, narrow, narrowing of the stomach, nasoenteral tube, negative pressure, new models, Nitinol double covered stents, no access, no use for stents, non-healing, NOTES, nutritional access, nutritional depletion, obesity, Obesity Surgery, obesity tx, observe results, occluding, occluding the hole, occurrence, off label use, oncology, onset of respiratory sx, open RYGB, option, ORYGB, OTS balloon, outcomes, overtube, pain, pain killers, paper clips, paperclip, papers reviewed, passage, pathophys, patient family, percutaneous, percutaneous drain, perf, perf rate, personal space, PHILIPS BV Endura, physiologic obstruction, pitfalls, plastic, plastic stents, Plicator, pneumatic balloons, pneumatic dilation, Poliflex, possible endoscopic treatments, post-op, post-op extraluminal leaks, pouch, preop BMI, previous management, primary group, procedure type, professional education, progression, prostheis, proximal, publication, PubMed, pylorus, radiological image, radiological mark, radiological marks, re-operation, reaction, readmission, reconnect, redrain, reference book, regular bariatric anatomy, release the pressure, remove the clip, reoperation, reported complication rate, research article, resect, reshaping fistula site, retrieval, retrospective study, revisional surgery, Rigiflex balloon 30 mm, ring, ring removal, ringed stent, risk of leak, RNY gastric bypass leaks, role of stents, rotate scope, rotation, RYGB, RYGB endoscopic anatomy, RYGB leaks, RYGB leaks and fistulas, safe measure, Savary Bougie, Savory guidwire, SBAD, SBCBM, scientific advisory board, scientific coordinator, sepsis, septoplasty, septotomy, septum, serious complication, sex, SG, significant reflux, silicon, simple dilations, single dilation, skin level, sleep apnea, sleeve acute leaks, sleeve consensus classification, SOBED, source of the GBF, South American stent, speed of dx, stabilize, staged, staple line, staples, stenosis, stenotic, stent, stent removal, stent retrieval, stenting, stents, stomach, stretch, Stretta, stricture causing obstruction, stricturotomy, superstiff, Surgery for Obesity and Related Diseases, surgical anatomy, surgical complications interface, surgical drain, Surgical Endoscopy, surgical removal, surgical revision, suture line resistance, systematic review, systematic revision, technical aspects, teflon, temporary stents, test, therapeutic endoscopy, therapeutic window, thoracotomy, thorax, tissue, tissue resistance, torsion, tortuous path, total gastrectomy, traditional therapeutic endoscopy, TTS balloons, tx strategy, UFPE, upper GI series, vacuum dressing, valid tx option, visceral structure, weak spot, weight regain, well designed, women, worst case scenarios, x-ray, Zencker diverticulum like

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