A648 A Novel Over-Under Technique for Managing Acute Sleeve Strictures Associated with Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy

A sleeve stricture is usually a delayed diagnosis; however, it can occur acutely. When this happens, the sleeve can be saved when using the over-under technique. This is done by transecting the stomach at the stricture and pulling the superior portion over the lower portion and firing a 60-mm mechanical stapling device. The resulting defect is hand-sewn closed. This allows the patient to keep their pylorus and avoids the complications associated with conversion to Roux-en-Y gastric bypass. There have been no previous reports of this technique which can be used to treat both acute and chronic strictures.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research