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. 2021 Jul 8;6(9):404-406.
doi: 10.1016/j.vgie.2021.05.017. eCollection 2021 Sep.

Endoscopic revision for weight regain after open vertical-banded gastroplasty

Salvatore F Vadalà di Prampero  1 , Milutin Bulajic  1 , Piero Giustacchini  2   3 , Gabriella Manzoni  4 , Guido Costamagna  5
Affiliations

Endoscopic revision for weight regain after open vertical-banded gastroplasty

Salvatore F Vadalà di Prampero et al. VideoGIE. .

Abstract

Video 1Technical feasibility, safety, and efficacy of a novel endoscopic approach to treating weight regain after open vertical-banded gastroplasty using an endoscopic suturing device.

Keywords: OVBG, open vertical-banded gastroplasty; RYGB, Roux-en-Y gastric bypass; VBG, vertical-banded gastroplasty.

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Figures

Figure 1
Figure 1
Illustration of Mason’s open vertical banded gastroplasty.
Figure 2
Figure 2
The dilated gastric pouch with a staple-line dehiscence (top left) with a mucosal bridge and the distal part of the staple-line, close to the gastric outlet (lower right), still undisrupted.
Figure 3
Figure 3
Illustration of staple-line dehiscence.
Figure 4
Figure 4
Endoscopic suturing device.
Figure 5
Figure 5
Running sutures with a “Z” stich pattern and a reinforcement.
Figure 6
Figure 6
Final result: opposite sides of staple-line dehiscence approached, with restoration of the original tiny gastric pouch.
See this image and copyright information in PMC

References

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