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Nitin Kumar, Christopher C. Thompson 

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1 Endoscopic Management of Complications After Gastrointestinal Weight Loss Surgery 
Nitin Kumar, Christopher C. Thompson  Clinical Gastroenterology and Hepatology  Volume 11, Issue 4, Pages (April 2013) DOI: /j.cgh Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions

2 Figure 1 (A) Suture can entrap food, which can apply tension, causing intermittent pain, (B) linear ulceration, and (C) bezoar formation resulting in bowel obstruction; (D) suture should be extracted and cut with endoscopic tools. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions

3 Figure 2 (A) Visible suture may overlay significant embedded suture; (B) removal can result in improvement of symptoms. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions

4 Figure 3 LAGB erosion. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions

5 Figure 4 Gastrogastric fistula (A) effectively closed after Over-the-Scope Clip placement (B). Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions

6 Figure 5 Gastrogastric fistula (A) after endoscopic repair (B).
Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions

7 Figure 6 Endoscopic vacuum-assisted sponge device.
Reprinted from Gastrointestinal Endoscopy; Wedemeyer J, Brangewitz M, Kubicka S, et al, Management of major postsurgical gastroesophageal intrathoracic leaks with an endoscopic vacuum-assisted closure system, 71(2): Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2010 Elsevier Terms and Conditions Copyright © 2013 AGA Institute Terms and Conditions


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