Endoscopy 2025; 57(S 02): S229
DOI: 10.1055/s-0045-1805560
Abstracts | ESGE Days 2025
Moderated poster
Controlling the procedure: principles, tricks and devices 04/04/2025, 10:00 – 11:00 Poster Dome 2 (P0)

EMR TORe: Treatment of excessively wide Gastro-Jejunal Anastomosis (GJA)

Authors

  • M Sanavio Charrier

    1   CHU de Montpellier/Nimes, MONTPELLIER, France

  • S Carparelli

    2   Division of gastroenterology and digestive endoscopy, fondazione I.R.C.C.S, San Giovanni Rotondo, Italy

  • J M Gonzalez

    3   Hospital Nord, Marseille, France

  • M Barthet

    3   Hospital Nord, Marseille, France
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Abstract Text Excessively wide gastro-jejunal anastomosis (GJA) after gastric bypass can lead to weight gain or refractory dumping syndrome. An alternative endoscopic procedure, EMR-TORe, is proposed, refining the Transoral Outlet Reduction (TORe) method. A 36-year-old woman who regained significant weight post-surgery and a 68-year-old man suffering from severe dumping syndrome underwent this procedure. EMR-TORe involved circular mucosectomy at the anastomosis site, enhancing both patients' conditions. The first patient lost 8 kg, while the second reported an improvement in quality of life, no longer experiencing dumping syndrome. Although the technique aims to minimize stenosis, complete EMR can induce fibrosis, leading to effective clinical outcomes in narrowing the GJA [1].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/ba4cd0eb-4092-4d66-ac7f-a2fdc991063d/Uploads/16849_Video_EMR-TORe%20.mp4



Publication History

Article published online:
27 March 2025

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