REVERSAL OF TRANSORAL GASTROPLASTY USING TUNNELING ENDOSCOPIC METHODS
Rebecca Yao*, Tala Mahmoud, Rabih Ghazi, Farah Abdul Razzak, Donna Maria Abboud, Serge Baroud, Omar M. Ghanem, Barham K. Abu Dayyeh
Mayo Clinic Minnesota, Rochester, MN
We present a case of weight regain in a 46-year-old woman with class III obesity following transoral gastroplasty. To allow for safe conversion to laparoscopic Roux-en-Y gastric bypass surgery, the request was made for endoscopic takedown of the vertical staple line to provide a patent proximal gastric pouch. Endoscopic tunneling methods were utilized, creating a mucosal lift with subsequent careful dissection of layers and cauterization of submucosal vessels. Muscular layers were dissected to release the vertical septum using electrocautery, resulting in a fully opened stomach. The patient subsequently underwent successful gastric bypass surgery with significant post-operative weight loss.
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