Endoscopic neogastrogastrostomy in a postgastric bypass patient by application of an endoscopic antegrade–retrograde rendezvous technique

      The patient, a 45-year-old woman, initially underwent Roux-en-Y gastric bypass for morbid obesity. Three years later, it was complicated by a gastrojejunostomy ulcer with perforation requiring local repair. Additional complications with ischemic bowel and subsequent surgical revisions resulted in complete gastric outlet obstruction. A venting gastrostomy tube was placed in the gastric pouch, and a feeding gastrostomy tube was surgically placed in the gastric remnant. After some time, the patient strongly expressed her desire to eat orally. Because of the previous surgical complications and scar tissue, the surgical team requested an endoscopic attempt to reconnect the gastric pouch and excluded gastric remnant.


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