Triangulation suturing platform for dumping syndrome after 1-anastomosis gastric bypass: a case report

Dumping Syndrome (DS) consists of symptoms elicited by the rapid transit of undigested food into the small bowel. It occurs in up to 40% of patients undergoing gastric bypass. Symptoms vary in both nature and severity and traditionally are evaluated using the Sigstad score.1 The onset of DS has been linked to the dilation of the GastroJejunal Anastomosis (GJA).2 The transoral outlet reduction of the GJA has proven to be effective for the treatment of DS.3-6 The Endomina system (Endo Tools Therapeutics S.A., Gosselies, Belgium) is a single-use, over-the-scope triangulation suturing platform provided with Conformité Européenne marking for endoscopic gastroplasty.