Gastrogastric Fistula After Roux-en-Y Gastric Bypass: A Case Report and Review of Literature

Alyaqout, Khaled; Almazeedi, Sulaiman; Al-Haddad, Mohanned; Efthimiou, Evangelos; Loureiro, Marcelo de Paula

doi:10.1590/0102-672020190001e1509

Cited by 3 publications

(2 citation statements)

References 19 publications

(50 reference statements)

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“…Gastrogastric (GG) fistulas are a serious complication that can occur in up to 6% of RYGB cases, and are often associated with abdominal pain, GERD and weight gain [97,98]. GERD in GG fistula has been attributed to the passage of gastric acid from the remnant stomach to the gastric pouch through the fistula (Figures 2 and 3).…”

Section: Management and Treatment Approach To Gerd Following Bariatri...mentioning

confidence: 99%

Gastroesophageal Reflux Disease in Obesity: Bariatric Surgery as Both the Cause and the Cure in the Morbidly Obese Population

Masood,

Low,

Deal

et al. 2023

JCM

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Gastrointestinal reflux disease (GERD) is a chronic, highly prevalent condition in the United States. GERD can significantly impact quality of life and lead to complications including aspiration pneumonia, esophageal stricture, Barrett’s esophagus (BE) and esophageal cancer. Obesity is a risk factor for GERD, which often improves with weight loss and bariatric surgery. Though the incidence of bariatric surgery, in particular, minimally invasive sleeve gastrectomy, has risen in recent years, emerging data has revealed that the severity or new onset of GERD may follow bariatric surgery. We performed a literature review to provide a detailed analysis of GERD with an emphasis on bariatric surgery as both the cure and the cause for GERD in the morbidly obese population. We also describe the pathophysiological mechanisms, management approach and treatment strategies of GERD following bariatric surgery.

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Section: Management and Treatment Approach To Gerd Following Bariatri...mentioning

confidence: 99%

Gastroesophageal Reflux Disease in Obesity: Bariatric Surgery as Both the Cause and the Cure in the Morbidly Obese Population

Masood,

Low,

Deal

et al. 2023

JCM

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“…Historically, nearly 50% of non-divided gastric bypasses were complicated by GGF [ 6 ]. Although the true current incidence of GGF is difficult to ascertain, recent studies have reported a dramatic reduction in GGF incidence to ˂2% in patients with a divided RNYGB [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Operative technique for a successful laparoscopic en-bloc resection of gastrogastric fistula following roux-en-Y gastric bypass

Patel,

Perdue,

Varre

et al. 2023

Journal of Surgical Case Reports

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Gastrogastric fistulas are rare complications following Roux-en-Y gastric bypass surgery and are characterized by a fistulous connection between the gastric pouch and the remnant stomach. The presentation is often variable and a high-index of suspicion must be maintained for accurate and timely diagnosis. In this case report, we provide a detailed review of the technical steps taken to successfully resect a gastrogastric fistula en-bloc laparoscopically with an unremarkable post-operative course.

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Fístula gastro-gástrica tras bypass gástrico anillado: utilidad de la gastroscopia intraoperatoria

López¹,

Rodriguez²,

Quirós³

et al. 2022

BMI Journal

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La fístula gastrogástrica post bypass gástrico por obesidad mórbida en una complicación infrecuente, pero que cuando sucede, condiciona el fracaso de la cirugía.La endoscopia digestiva alta es un pilar del diagnóstico junto con la radiología, una alternativa terapéutica, en auge, en algunos casos, y una técnica de gran ayuda intraoperatoria, en la cirugía de revisión de la obesidad mórbida.Presentamos un caso de fistula gastrogástrica, tardía, tras un bypass gástrico anillado laparoscópico, en el que la endoscopia digestiva alta tuvo un papel fundamental en la identificación anatómica de estructuras y localización del trayecto fistuloso, aumentado así la seguridad del procedimiento quirúrgico.

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Gastrogastric Fistula After Roux-en-Y Gastric Bypass: A Case Report and Review of Literature

Cited by 3 publications

References 19 publications

Gastroesophageal Reflux Disease in Obesity: Bariatric Surgery as Both the Cause and the Cure in the Morbidly Obese Population

Gastroesophageal Reflux Disease in Obesity: Bariatric Surgery as Both the Cause and the Cure in the Morbidly Obese Population

Operative technique for a successful laparoscopic en-bloc resection of gastrogastric fistula following roux-en-Y gastric bypass

Fístula gastro-gástrica tras bypass gástrico anillado: utilidad de la gastroscopia intraoperatoria

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