Abstract

Gastrogastric fistula (GGF) is a potential complication of Roux-en-Y gastric bypass and results in failure to achieve long-term weight loss [1]. Revision surgery can be technically challenging and is associated with high morbidity [2]. Endoscopic repair using suture systems [1] [2] [3], plugs, clips, fibrin glue, temporary stenting, or coagulation have been reported [2], with high success rates mainly in small GGF (less then 10 mm) [3] [4]. We report the successful treatment of a giant chronic GGF using a colic over-the-scope clip (OTSC; Ovesco Endoscopy GmbH, Tübingen, Germany) after failed revision surgery.

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