02/06/2026
“Laparoscopic treatment of gastrogastric fistula after laparoscopic Roux-en-Y gastric bypass (RYGB)”
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This video demonstrates the surgical resection of a recurrent gastrogastric fistula in a 43-year-old female presenting with weight regain and epigastric pain following an initial RYGB. It showcases the complete release of digestive structures, endoscopic control, and the creation of a new mechanical gastrojejunostomy.
The patient recovered uneventfully, resuming a progressive diet and discharging on postoperative day 1. Follow-up confirmed successful abdominal pain resolution and stabilization at her target weight, highlighting a safe, effective solution for managing complex post-bariatric complications.