This video begins in the ailemtary limb of the gastric bypass and as the scope is withdrawn we see a large gastro-gastric fistula adjacent to the anastomosis. On the posterior wall there is a large, deep, clean based ulcer with some associated silk suture.
Video donated to the SAGES Video Atlas of Endoscopy by Eric M Pauli, MD
Keyword(s): alimentary limb, anastomosis, anastomotic ulcer, GB, GGF, scope, silk suture, ulcer