LAUSR

Prior to the widespread use of therapeutic endoscopy, surgery was the only way to achieve restoration of normal bowel continuity after resection and bypass of a diseased or obstructed gastrointestinal tract. However, with the advancement of endoscopic skills and devices, endoscopic approaches now provide possible alternatives [1–5]. This procedure is particularly useful for patients with hostile abdomen and high operative risk. A 68-year-old man underwent a laparoscopic single anastomosis or mini-gastric bypass (MGB), with 1.5 metre bilio-pancreatic limb, in 2013 for morbid obesity and poorly controlled diabetes mellitus. Postoperatively, he suffered from severe malnutrition despite increasing oral intake and protein supplements. He was experiencing diarrhea and bilateral lowerlimb edema secondary to hypoalbuminemia (18g/L). He underwent a computed tomography-guided insertion of a gastrostomy tube into the excluded stomach Video 1 Endoscopic partial reversal of single anastomosis gastric bypass. LAMS EUS gastroscope