{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T13:34:54Z","timestamp":1770471294236,"version":"3.49.0"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Vertical banded gastroplasty (VBG) was one of the preferred bariatric procedures in the 1980s. It includes a vertical staple line to create a small stomach pouch separated from the remainder of the stomach by a dime size hole. Symptoms of pouch outlet obstruction are a common late complication. At our center, we adopted an EUS-guided gastrogastrostomy with a lumen-apposing metal stent to treat this.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We retrospectively analyzed nine consecutive patients who underwent EUS-guided gastrogastrostomy for pouch outlet obstruction (POO) secondary to vertical banded gastroplasty between June 2019 and January 2024.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The follow-up period varied with a median period of 5.5 months (IQR 5\u201321). Patients with obstructive symptoms reported resolution of their symptoms and were able to tolerate a general diet. The median weight change was + 3.1 kg (IQR 1\u20138.45) with a median relative difference of + 3.7% (IQR 0.84\u20137.25). No adverse events were encountered, except for late stent migration in two patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Gastrogastrostomy with LAMS is effective and safe in treating pouch outlet obstruction in patients with a VBG anatomy. However, late stent migration may occur if not removed. Follow-up is required to monitor for fistula persistence after stent removal and to assess weight gain.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11695-025-07957-8","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T17:19:49Z","timestamp":1752686389000},"page":"3316-3320","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic Ultrasound Guided Gastro-Gastrostomy for Management of Pouch Outlet Obstruction Secondary to Vertical Banded Gastroplasty: Efficacy and Safety"],"prefix":"10.1007","volume":"35","author":[{"given":"Gilles","family":"Hoilat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melis","family":"Celdir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Gerke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"7957_CR1","doi-asserted-by":"crossref","unstructured":"Gagn\u00e9 DJ, Dovec E, Urbandt JE.\u00a0Laparoscopic revision of vertical banded gastroplasty to Roux-en-Y gastric bypass: outcomes of 105 patients.\u00a0Surg Obes Relat Dis. 2011;7(4):493\u20139.","DOI":"10.1016\/j.soard.2010.10.014"},{"issue":"2","key":"7957_CR2","first-page":"141","volume":"32","author":"B Larson","year":"2019","unstructured":"Larson B, Adler DG. Lumen-apposing metal stents for gastrointestinal luminal strictures: current use and future directions. Ann Gastroenterol. 2019;32(2):141\u20136.","journal-title":"Ann Gastroenterol"},{"key":"7957_CR3","doi-asserted-by":"publisher","unstructured":"Balsamo F, Pagano N, Rottoli M. Endoscopic ultrasound-guided stented gastro-gastrostomy for strictured vertical banded gastroplasty. Obes Surg. 2020;30(9):3645\u20136. https:\/\/doi.org\/10.1007\/s11695-020-04773-0.","DOI":"10.1007\/s11695-020-04773-0"},{"key":"7957_CR4","doi-asserted-by":"publisher","unstructured":"Campbell C, Koutlas N, Fernandez A, Pawa R. Endoscopic ultrasound-guided gastro-gastrostomy using lumen apposing metal stent for management of high-grade gastric outlet obstruction secondary to vertical banded gastroplasty. Obes Surg. 2023;33(10):3330\u20131. https:\/\/doi.org\/10.1007\/s11695-023-06763-4.","DOI":"10.1007\/s11695-023-06763-4"},{"key":"7957_CR5","doi-asserted-by":"publisher","unstructured":"Kedia P, Shah-Khan S, Tyberg A. Endoscopic ultrasound-directed transgastric ERCP (EDGE): A multicenter US study on long-term follow-up and fistula closure. Endosc Int Open. 2023;11(5):E529\u201337. https:\/\/doi.org\/10.1055\/a-2057-5984.","DOI":"10.1055\/a-2057-5984"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-025-07957-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-025-07957-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-025-07957-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T13:57:53Z","timestamp":1756216673000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-025-07957-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,16]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["7957"],"URL":"https:\/\/doi.org\/10.1007\/s11695-025-07957-8","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,16]]},"assertion":[{"value":"12 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}