Use of a gastrointestinal sleeve to treat bariatric surgery fistulas and leaks
First Claim
1. A method of treatment of a fistula or leak of a Roux-en-Y patient comprising the steps of:
- selecting a Roux-en-Y patient having a fistula or leak as a result of bariatric surgery;
providing an implant comprising a collapsible, self-expanding anchor coupled to a proximal portion of a flexible, floppy sleeve, open at both ends, a distal portion of the flexible, floppy sleeve extending beyond the anchor and being unsupported;
positioning the anchor within the esophagus of the patient, who has had a Roux-en-Y gastric bypass procedure, and above the gastroesophageal (GE) Junction of the patient; and
extending the flexible, floppy sleeve through a stomach pouch of the patient past the fistula or leak into an intestine anastomosed to the stomach pouch.
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Accused Products
Abstract
Method for treating a Roux-en-Y patient having fistulas and leaks as a result of bariatric surgery. A gastrointestinal implant device is anchored in the esophagus and extends through a stomach pouch into an intestine anastomosed to the stomach pouch to prevent fistulas and other damaged tissue from making contact with food and fluids entering the esophagus. The gastrointestinal implant device includes an unsupported flexible sleeve and an anchor coupled to a proximal portion of the sleeve. The flexible sleeve is open at both ends, and adapted to extend below a jejunum. The anchor is adapted to be retained within the esophagus, preferably just above the gastroesophageal (GE) Junction. The anchor can include a stent such as a wave anchor and is collapsible for catheter-based delivery and removal.
370 Citations
12 Claims
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1. A method of treatment of a fistula or leak of a Roux-en-Y patient comprising the steps of:
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selecting a Roux-en-Y patient having a fistula or leak as a result of bariatric surgery; providing an implant comprising a collapsible, self-expanding anchor coupled to a proximal portion of a flexible, floppy sleeve, open at both ends, a distal portion of the flexible, floppy sleeve extending beyond the anchor and being unsupported; positioning the anchor within the esophagus of the patient, who has had a Roux-en-Y gastric bypass procedure, and above the gastroesophageal (GE) Junction of the patient; and extending the flexible, floppy sleeve through a stomach pouch of the patient past the fistula or leak into an intestine anastomosed to the stomach pouch. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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Specification