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. 2010 Apr 1;2010(2):1.
doi: 10.1093/jscr/2010.2.1.

Endoscopic gastric pouch plication - a novel endoluminal incision free approach to revisional bariatric surgery

Chiranjiv S Virk  1 , I Michael Leitman  1 , Elliot R Goodman  1
Affiliations

Endoscopic gastric pouch plication - a novel endoluminal incision free approach to revisional bariatric surgery

Chiranjiv S Virk et al. J Surg Case Rep. .

Abstract

10-40% of Roux-en-Y gastric bypass (RYGB) patients regain significant weight after Roux-en-Y gastric bypass surgery due to dilation of the pouch and/or the gastrojejunal (GJ) anastomosis. Traditional revision surgery is associated with significant morbidity (e.g. post-anastomotic GJ leak) where less invasive endoluminal procedures may represent safer alternatives. The present article reports a case of the safe and successful use of endoluminal gastric pouch plication (EGPP) using the StomaphyX™ device to correct both a dilated gastric pouch and a dilated gastrojejunostomy in a post-RYGB patient who regained significant weight.

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Figures

Figure 1
Figure 1
General view of the device (a) and its shaft with a SerosaFuse fastener; (b) (Illustration from Overcash 2008)
Figure 2
Figure 2
Gastrojejunal stoma before endoluminal gastric pouch plication
Figure 3
Figure 3
Gastrojejunal stoma immediately after endoluminal gastric pouch plication
Figure 4
Figure 4
Upper GI Series before endoluminal gastric pouch plication
Figure 5
Figure 5
Upper GI Series 2 months after endoluminal gastric pouch plication
See this image and copyright information in PMC

References

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    1. Overcash WT. Natural orifice surgery (NOS) using StomaphyX for repair of gastric leaks after bariatric revisions. Obes Surg 2008. Jul;18(7):882–5 Epub 2008 Apr 26. - PMC - PubMed
    1. Mikami D, Needleman B, Narula V, Durant J, Melvin WS. Natural orifice surgery: initial US experience utilizing the StomaphyX(TM) device to reduce gastric pouches after Roux-en-Y gastric bypass. Surg Endosc 2009. Jul 25. [Epub ahead of print]. - PubMed