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Sleeve gastrectomy is the number one bariatric surgical intervention worldwide to treat morbid obesity. The rate of gastric stenosis after sleeve gastrectomy is around 2 to 4% [1] [2]. A gastric twist represents a functional gastric stenosis. Endoscopic management with pneumatic dilation or stent is proposed as first-line therapy [1] [2] [3]. In case of failure, a surgical conversion to Roux-en-Y gastric bypass (RYGB) is performed. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) using an oroenteric catheter is a new approach to treat a benign gastric outlet obstruction (GOO) [4] [5]. We report the case of a patient with a gastric twist after laparoscopic sleeve gastrectomy successfully treated with EUS-GE after failure of repeat endoscopic dilatation.
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Monino et al. (2024) studied this question.
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