Open AccessEndoscopic approach to gastric remnant outlet obstruction after gastric bypass: A case report
Author(s) -
Arash Zarrin,
Sufian Sorathia,
Vivek Choksi,
Steven Kaplan,
Franklin Kasmin
Publication year - 2020
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v12.i9.297
Subject(s) - medicine , gastric outlet obstruction , melena , surgery , endoscopy , stomach , endoscopic ultrasound , pyloroplasty , anastomosis
Acute gastric remnant bleeding is a rare complication of bariatric surgery. Furthermore, acute bleeding from the gastric remnant resulting in gastric remnant outlet obstruction has not been described previously. Endoscopic management of gastric remnant bleed has been challenging due to difficulty accessing the excluded stomach. Traditionally, this necessitates surgical intervention. Recently, however, the adoption of endoscopic ultrasound-directed transgastric intervention provides an alternative approach to management.