903 NOVEL LAPARO-ENDOSCOPIC HYBRID PROCEDURE TO TREAT A DISCONNECTED ROUX LIMB AFTER BARIATRIC SURGERY

Obesity is a worldwide pandemic and bariatric surgery is the most effective treatment modality. Despite its satisfactory clinical results, some patients regain some of their lost weight [1] [2]. Traditionally, revisional surgery to reduce the gastrojejunal anastomosis (GJA) is offered to these patients. However, revisional procedures carry a higher complication rate than primary bariatric surgeries, including fistulas and dehiscence with incidences ranging from 1 % to 8.3 % after laparoscopic Roux-en-Y gastric bypass (RYGB) [2] [3] [4]. The diagnosis and treatment of bariatric surgery leaks are challenging due to nonspecific clinical and laboratory findings. Some cases are associated with situations of extreme gravity, narrowing the options for treatment and thus making the complications challenging to solve [5].