what do you think I could do after stenosis pos operative co | Figure 1

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What do you think I could do after stenosis post-operative colecistectomy? I thought the best would be percutaneous draining and dilatation.

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52 yo Male. Vomiting and Weight loss after a RYLGBypass in 2003. GERD and neo Barrett due to an stenosis of the gastroyeyunal anastomosis in Endoscopy. He was previously banded and resized that anastomosis. Not possible more endoscopic dilation. We decide to performed a laparoscopic exploration and finally perform a resection of the previous anastomosis and a re-gasteoyeyunostomy as shown. He now is doing right and cross fingers for not regaining weight. 🙈

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