Endoscopic Suturing (Overstitch®) and Bariatric Endoscopy

Endoscopic Suture Revision of dilated stoma (gastrojejunostomy anastamosis) after Roux-en-Y gastric bypass weight loss surgery:

Case 1:

1-Overstitch stoma revision

Top left; ablative de-epithelization of dilated stoma, top right preparing for first suture placement, bottom left afer first figure of eight suture cinched and bottom right end result with stoma reduction.

 

Case 2:

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Markedly dilated stoma approx 4 cms

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Ablative de-epithelization of mucosa at anastamosis

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Endoscopic Suturing with Apollo Overstitch

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Anchoring of final suture

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After final cinched suture

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Final appearance of stoma size reduction to approx 12 mm

 

Endoscopic suture fixation of fully covered esophageal metal stent:

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Refractory gastroesophageal anastamotic stricture

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Balloon catheter through stricture

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Balloon dilation of fibrotic stricture

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Severe fibrosis of anastamotic stricture

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Endoscopic suture fixation of proximal end of stent in the esophagus, 1st suture placement with Apollo Overstitch device

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Appearance after first complete suture cinched

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Appearance after 2 cinched sutures have been secured and preparation for a 3rd suture.

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Final appearance after placement of 3 separately cinched sutures securing the proximal end of the fully covered stent to prevent distal migration.