Endoscopy 2021; 53(S 01): S11
DOI: 10.1055/s-0041-1724277
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Regeneration of Epithelialized Digestive Continuity after Endoscopic Stenting for Circumferential Oesogastric Junction Necrosis Following Roux-EN-Y Gastric Bypass

S Ouazzani
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
,
D Lorenzo
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
,
M Fernandez
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
,
M Arvanitaki
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
,
D Blero
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
,
I El Moussaoui
2   Université Libre de Bruxelles, Erasme Hospital, Department of Digestive Surgery, Brussels, Belgium
,
J Closset
2   Université Libre de Bruxelles, Erasme Hospital, Department of Digestive Surgery, Brussels, Belgium
,
J Deviere
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
,
A Lemmers
1   Université Libre de Bruxelles, Erasme Hospital, Department of Gastroenterology, Hepatopancreatology and digestive Oncology, Brussels, Belgium
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A patient who underwent a Roux-en-Y gastric by-pass after vertical gastroplasty for morbid obesity, presented with sepsis associated to complete oesogastric junction disunion with loss of luminal continuity. After surgical concertation, an endoscopic treatment with metallic stent was attempted to restore luminal continuity. After two cycles of endoscopic stenting during a total of 7 months, a neo-epithelialized digestive continuity, connecting the oesophagus to the remnant stomach, was observed, with no more leakage and excellent clinical evolution. After three successful dilation sessions of two stent-related strictures, the patient is fine and eats normally, without any dysphagia or sepsis.

Citation: Ouazzani S, Lorenzo D, Fernandez M et al. OP17V REGENERATION OF EPITHELIALIZED DIGESTIVE CONTINUITY AFTER ENDOSCOPIC STENTING FOR CIRCUMFERENTIAL OESOGASTRIC JUNCTION NECROSIS FOLLOWING ROUX-EN-Y GASTRIC BYPASS. Endoscopy 2021; 53: S11.



Publication History

Article published online:
19 March 2021

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