Endoscopy 2022; 54(S 01): S65
DOI: 10.1055/s-0042-1744705
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
11:30–12:30 Friday, 29 April 2022 Club H. Obesity: new endoscopic techniques and treatment of complications

MEDIO-GASTRIC PERORAL ENDOSCOPIC MYOTOMY (MG-POEM) IN THE MANAGEMENT OF POST-SLEEVE GASTRECTOMY (LSG) TWISTS: 4 CASES WITH VIDEO

J.-M. Gonzalez
1   Aix-Marseille Université, Hôpital Nord, Gastroenterology, Marseille, France
,
M. Barthet
1   Aix-Marseille Université, Hôpital Nord, Gastroenterology, Marseille, France
› Author Affiliations
› Further Information
Also available at
 

Medio-gastric twists represent up to 4% of LSG, with challenging management. We propose MG-POEM to treat these patients.

Between June 2020 and 2021, four patients presented with alimentary intolerance dur to medio-gastric twist following LSG, and underwent MG-POEM after validation in obesity multidisciplinary council.

Procedures were performed under CO2 with therapeutic gastroscope and a TriangleTip knife. All were successfully completed with intraoperative complication. One patient had antibiotic for postoperative fever and pain. At 6 months, median GOOSS and quality of life were significantly improved. Esophagogram and upper gastrointestinal endoscopy showed the disappearance of the twist.



Publication History

Article published online:
14 April 2022

© 2022. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany