Abstract Text Vertical banded gastroplasty (VBG) is a procedure not used anymore due to ineffective
weight loss and common complications. A 59-year-old male, who uderwent a VBG, presented
with vomiting and significant weight loss. He suffered from these symptoms for years,
and once in our clinic, the esophagogastroduodenoscopy (EGD) performed under general
anesthesia revealed the presence of a bezoar in the gastric pouch. Behind the bezoar,
the presence of a gastrogastric fistula was observed, and complete obliteration at
the site of the gastric outlet. On retroflexion, the incorporation of the bendage
in the gastric mucosa was observed. The increase of pressure inside the gastric pouch
due to the presence of the beazoar, led to the formation of gastro-gastric fistula.
Once the bezoar was removed, the patient resumed oral feeding with no symptoms.
Video
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