Journal article
Endoscopic Ultrasound Guided Gastro-Gastrostomy for Management of Pouch Outlet Obstruction Secondary to Vertical Banded Gastroplasty: Efficacy and Safety
Obesity surgery, Vol.35(8), pp.3316-3320
08/01/2025
DOI: 10.1007/s11695-025-07957-8
PMCID: PMC12380959
PMID: 40670891
Appears in UI Libraries Support Open Access
Abstract
Vertical banded gastroplasty (VBG) was one of the preferred bariatric procedures in the 1980s. It includes a vertical staple line to create a small stomach pouch separated from the remainder of the stomach by a dime size hole. Symptoms of pouch outlet obstruction are a common late complication. At our center, we adopted an EUS-guided gastrogastrostomy with a lumen-apposing metal stent to treat this.
We retrospectively analyzed nine consecutive patients who underwent EUS-guided gastrogastrostomy for pouch outlet obstruction (POO) secondary to vertical banded gastroplasty between June 2019 and January 2024.
The follow-up period varied with a median period of 5.5 months (IQR 5-21). Patients with obstructive symptoms reported resolution of their symptoms and were able to tolerate a general diet. The median weight change was + 3.1 kg (IQR 1-8.45) with a median relative difference of + 3.7% (IQR 0.84-7.25). No adverse events were encountered, except for late stent migration in two patients.
Gastrogastrostomy with LAMS is effective and safe in treating pouch outlet obstruction in patients with a VBG anatomy. However, late stent migration may occur if not removed. Follow-up is required to monitor for fistula persistence after stent removal and to assess weight gain.
Details
- Title: Subtitle
- Endoscopic Ultrasound Guided Gastro-Gastrostomy for Management of Pouch Outlet Obstruction Secondary to Vertical Banded Gastroplasty: Efficacy and Safety
- Creators
- Gilles Hoilat - SUNY Upstate Medical UniversityMelis Celdir - University of Iowa Hospitals and ClinicsHenning Gerke - Gastroenterology and Hepatology, MercyOne-Genesis, Davenport, USA
- Resource Type
- Journal article
- Publication Details
- Obesity surgery, Vol.35(8), pp.3316-3320
- DOI
- 10.1007/s11695-025-07957-8
- PMID
- 40670891
- PMCID
- PMC12380959
- NLM abbreviation
- Obes Surg
- ISSN
- 0960-8923
- eISSN
- 1708-0428
- Publisher
- Springer Nature
- Language
- English
- Date published
- 08/01/2025
- Academic Unit
- Gastroenterology and Hepatology
- Record Identifier
- 9984963940602771
Metrics
1 Record Views