Single Session EUS-Guided Temporary Gastro-Gastrostomy and ERCP Following Gastric Bypass

Roux-en-Y gastric bypass (RYGB) is the most common bariatric procedure for morbid obesity [1]. In these patients, access to the major papilla is a real challenge. Many alternative approaches, including enteroscopyassisted [2, 3] or surgery-assisted [4, 5] ERCP to manage pancreaticobiliary disorders...

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Bibliographic Details
Published in:Obesity surgery 2018-03, Vol.28 (3), p.886-888
Main Authors: Ligresti, Dario, Amata, Michele, Granata, Antonino, Cipolletta, Fabio, Barresi, Luca, Traina, Mario, Tarantino, Ilaria
Format: Article
Language:English
Subjects:
Gastrointestinal surgery
Medicine
Medicine & Public Health
Obesity
Surgery
Surgical outcomes
Surgical techniques
Video Submission
Weight control
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Summary:Roux-en-Y gastric bypass (RYGB) is the most common bariatric procedure for morbid obesity [1]. In these patients, access to the major papilla is a real challenge. Many alternative approaches, including enteroscopyassisted [2, 3] or surgery-assisted [4, 5] ERCP to manage pancreaticobiliary disorders in patients with RYGB, have been reported. Actually, these techniques are associated with a low success rate or high risk of complications. Recently, EUS-directed gastro-gastrostomy ERCP (EDGE) was developed as an effective miniinvasive treatment for patients with RYGB [6–8]. The purpose of this video is to describe an EDGE with an electrocautery-tipped lumen-apposing metal stent (LAMS) and same session ERCP.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-017-3097-4