Endoscopic gastrostomy after bariatric surgery: a unique approach
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Updated: Jun 19, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Natasha Rueth1, Sayeed Ikramuddin, Rafael Andrade
1Division of Thoracic and Foregut Surgery, Department of Surgery, University of Minnesota, MMC 207, Minneapolis, MN 55455, USA.
Abstract:
Gastrostomy tube placement after Roux-en-Y gastric bypass can be challenging, particularly in patients with dense abdominal adhesions. Novel, minimally invasive approaches are needed to access the gastric remnant when needed. We present an innovative method for gastrostomy tube placement in a patient with a retrocolic gastric bypass using a combined endoscopic ultrasound and fluoroscopy-guided approach, describing the essential technical steps of the procedure.
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