DISRUPTION OF ENDOSCOPIC GASTROJEJUNAL ANASTOMOTIC PLICATION SECONDARY TO FOOD INDISCRETION
David Morrell*, Katelin A. Mirkin, Joshua Winder, Ann M. Rogers, Eric Pauli
Penn State Health Milton S. Hershey Medical Center, Hershey, PA
The management of weight regain after gastric bypass requires thorough multidisciplinary evaluation of the potential etiology. In patients with dilated gastrojejunal anastomoses following gastric bypass, revision can address weight regain. Endoscopic revision is often favored given the extensive morbidity of surgical revision. This case demonstrates a patient who underwent endoscopic plication of the gastroejujanl anastomosis for weight regain whose subsequent postoperative course was complicated by disruption of the suture plication secondary to food indiscretion. Patient adherence to dietary guidance is critical to procedural success and may guide further refinement of this procedure.
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