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Natural orifice surgery: endoluminal pouch reduction following failed vertical banded gastroplasty
Authors:Manouchehri Namdar  Birch Daniel W  Menzes Carlos  Shi Xinzhe  Karmali Shahzeer
Institution:(1) Department of Surgery, University of Alberta, Edmonton, AB, Canada;(2) Centre for the Advancement of Minimally Invasive Surgery, Royal Alexandria Hospital, Edmonton, AB, Canada;
Abstract:

Background  

Following vertical banded gastroplasty (VBG), patients may develop pouch complications such as dilation and staple-line dehiscence. This may contribute to weight regain, and if conservative measures are exhausted, traditionally, open revisional surgery of the pouch or conversion of the VBG to Roux-en-Y gastric bypass (RYGB) would be considered. StomaphyXTM is an endoscopic device used with a conventional gastroscope for the approximation of tissue in gastric pouches or across gastroenteric anastomoses to enhance restriction. The objective of this study is to analyze the outcomes of StomaphyXTM endoluminal pouch revision following failed VBG.
Keywords:
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