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ROBOTIC AND ENDOSCOPIC ASSISTED GASTROGASTROSTOMY FOR THE TREATMENT OF LEAK AND STENOSIS AFTER SLEEVE GASTRECTOMY
Rebecca C. Dirks
*1, Young Mee Choi
3, Elizabeth Bruenderman
2, Ranjan Sudan
11Minimally Invasive and Bariatric Surgery, Duke University School of Medicine, Durham, NC; 2University of Louisville Hospital, Louisville, KY; 3West Virginia University School of Medicine, Morgantown, WV
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.
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