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A Spiral Stomach after Vertical Sleeve Gastrectomy | International Journal of Clinical & Medical Images

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A barium gastrogram outlined a small, remaining proximal stomach (indicated by a small black arrow in Figure 1) connected to the gastric antrum (indicated by a large white arrow in Figure 1) by a spiral of gastric sleeve. At upper endoscopy, a guide wire was passed under fluoroscopic guidance through the gastric sleeve and into the antrum. A Boston Scientific controlled radial expansion (CRE) single use esophageal balloon dilator was passed over the guide wire under fluoroscopic guidance, and segmental balloon dilation of the gastric sleeve was then performed. After dilation of the gastric sleeve, the patient noted minimal residual dysphagia when eating solid foods and a repeat barium gastrogram revealed a straight gastric sleeve."> <meta name="citation_fulltext_html_url" content="https://www.imagejournals.org/articles/a-spiral-stomach-after-vertical-sleeve-gastrectomy-455.html"> <meta name="citation_pdf_url" content="https://www.imagejournals.org/articles/a-spiral-stomach-after-vertical-sleeve-gastrectomy.pdf"> <style>.heading h1{ margin: 0; color: #fff; font-size: 30px; padding-left: 5px; }</style> </head> <body> <head> <style>.heading h1{ margin: 0; color: #fff; font-size: 30px; padding-left: 5px; }</style> </head> <div class="header-logo-bar"> <div class="container"> <div class="row no-gutters justify-content-between align-items-center"> <div class="col-2 col-md-auto"> <a href="#" class="header-logo"> <img src="/assets/img/Journal-of-Clinical-Medical-Imaging.png" alt="LOGO" class="img-fluid"> </a> </div> <div class="col-10 col-md-6"> 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class="col-12 col-md-9"> <!-- Modal --> <div class="modal fade" id="fullTextImg" tabindex="-1" role="dialog" aria-labelledby="fullTextImgLabel" aria-hidden="true"> <div class="modal-dialog modal-dialog-centered modal-lg" role="document"> <div class="modal-content"> <div class="modal-header"> <h5 class="modal-title" id="fullTextImgLabel">A Spiral Stomach after Vertical Sleeve Gastrectomy</h5> <button type="button" class="close" data-dismiss="modal" aria-label="Close"> <span aria-hidden="true">&times;</span> </button> </div> <div class="modal-body"> <img class="img-fluid d-flex mx-auto" src="https://www.imagejournals.org//admin/articles-images/455-a-spiral-stomach-after-vertical-sleeve-gastrectomy-images.jpg" alt="A Spiral Stomach after Vertical Sleeve Gastrectomy"> </div> </div> </div> </div> <div class="row"> <div class="col-12 col-sm-8"> <p class="text-muted"> Clinical Image - International Journal of Clinical & Medical Images (2017) Volume 4, Issue 2 </p> </div> <div class="col-12 col-sm-4 text-right"> <a href="https://www.imagejournals.org/articles/a-spiral-stomach-after-vertical-sleeve-gastrectomy.pdf" title="View PDF" class="btn btn-sm bg-green-600 rounded-50"><i class="fas fa-file-pdf"></i> View PDF</a> <a href="https://www.imagejournals.org/pdfdownload.php?download=articles/a-spiral-stomach-after-vertical-sleeve-gastrectomy.pdf" title="Download PDF" class="btn btn-sm bg-green-600 rounded-50"><i class="fas fa-file-download"></i> Download PDF</a> </div> </div> <h2 class="mb-3 font-size-24 fweight-600 heading-bullet brd-blue-600-before"> A Spiral Stomach after Vertical Sleeve Gastrectomy </h2> <img class="img-fluid img-thumbnail d-flex mx-auto w-50" data-toggle="modal" data-target="#fullTextImg" src="/admin/articles-images/455-a-spiral-stomach-after-vertical-sleeve-gastrectomy-images.jpg" title="Click here" alt="A Spiral Stomach after Vertical Sleeve Gastrectomy"> <p><strong>Author(s): </strong>Rashti F, Shope TR and Koch TR</p> <div class="text-justify"> <p ><span ><span ><span ><strong>Clinical Image:</strong> A patient presented with dysphagia and vomiting after undergoing a vertical sleeve gastrectomy, which was performed for surgical treatment of medically-complicated obesity. A barium gastrogram outlined a small, remaining proximal stomach (indicated by a small black arrow in Figure 1) connected to the gastric antrum (indicated by a large white arrow in Figure 1) by a spiral of gastric sleeve. At upper endoscopy, a guide wire was passed under fluoroscopic guidance through the gastric sleeve and into the antrum. A Boston Scientific controlled radial expansion (CRE) single use esophageal balloon dilator was passed over the guide wire under fluoroscopic guidance, and segmental balloon dilation of the gastric sleeve was then performed. 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