New MethodClinical EndoscopyEndoscopic removal of eroded bands in vertical banded gastroplasty: a novel use of endoscopic scissors (with video)
Section snippets
Case 1
With the patient under monitored anesthesia care (MAC) sedation with propofol, an Olympus double-channel endoscope (GIF 2T100; Olympus America, Center Valley, Pa) with 3.2-mm and 3.8-mm instrument channels was introduced by mouth and was advanced into the gastric pouch. Optimal exposure to the gastric band was obtained with the endoscope retroflexed in the antrum (Fig. 1A and B). By using alligator forceps (GF-49L-1; Olympus) in the 3.8-mm channel, the gastric band tag was grasped firmly
Discussion
Endoscopic scissors are an important tool in interventional GI endoscopy. Their use was described in the endoscopic palliation of refractory esophageal strictures7 and EMRs.8 Jess and Fonnest6 reported the first use of endoscopic scissors in the removal of an eroded vascular prosthesis placed during gastric surgery. Their report differs from this series, however, in that an electrosurgical device was required to facilitate the extraction of the eroded band.
A considerable difference in duration
Acknowledgments
The authors thank Adele K. Evans, MD, for providing illustrations.
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