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ROBOTIC AND ENDOSCOPIC ASSISTED GASTROGASTROSTOMY FOR THE TREATMENT OF LEAK AND STENOSIS AFTER SLEEVE GASTRECTOMY
Date
May 18, 2024
Currently, revision to gastric bypass is the standard surgical approach for gastric sleeve stenosis when endoscopic methods fail.
A 56 y.o. female presented two months after gastric sleeve with a small leak at her fundus and angulation at her incisura. She underwent robot assisted diagnostic laparoscopy with upper endoscopy. The area of angulation and area of leak were resected, and her sleeve reconstructed with a gastrogastrostomy. A double leak test and follow-up UGI were negative for leak, and she tolerated diet advancement.
Intraoperative endoscopy with robotic approach facilitates gastrogastrostomy for sleeve stenosis, making it a viable alternative to conversion to gastric bypass.
A 56 y.o. female presented two months after gastric sleeve with a small leak at her fundus and angulation at her incisura. She underwent robot assisted diagnostic laparoscopy with upper endoscopy. The area of angulation and area of leak were resected, and her sleeve reconstructed with a gastrogastrostomy. A double leak test and follow-up UGI were negative for leak, and she tolerated diet advancement.
Intraoperative endoscopy with robotic approach facilitates gastrogastrostomy for sleeve stenosis, making it a viable alternative to conversion to gastric bypass.
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