Endoscopic approach to gastric remnant outlet obstruction after gastric bypass: A case report

Figure 1 Computerized tomography scan revealing gastric remnant outlet obstruction.

Figure 2 Endoscopy. A: Healthy-appearing mucosa of Roux-en-Y; B: Gastric distension visualized on Endoscopic ultrasound; C: Introduction of Lumen-Apposing Metal Stent; D: Endoscopic view of Lumen-Apposing Metal Stent placement; E: Immediate decompression with flow of blood through stent; and F: Successful endoscopic ultrasound guided gastro-gastrostomy using Lumen-Apposing Metal Stent.

Figure 3 A large clot in gastric antrum of the excluded stomach.

Figure 4 Angiography and embolization of gastroduodenal artery.

Figure 5 Healing gastric ulcers on follow up endoscopy.