Endoscopic withdrawal of bariatric ring with the use of plastic prosthesis – A case report

The silicone ring of Roux-en-Y Gastric Bypass can determine benefits in long-term weight loss [1], but complications occur in about 1% of cases [2]. For example, ring slip, which consists of distal displacement, outside the gastric pouch towards the jejunum, causes secondary compression and symptoms such as post-eating vomiting, food intolerance and even malnutrition [3,4]. The technique for removing the ring by surgery is more frequently used [5], but in this case-report we will describe an endoscopic approach of removal [6,7]. The objective of this case report is to demonstrate the endoscopic technique of gastric ring removal through the use of self-expanding plastic prosthesis.