Late perforation at the jejuno-jejunal anastomosis after laparoscopic gastric bypass for morbid obesity

Kalaiselvan, R; Dakka, Mahmoud; Ammori, Basil J.

doi:10.1016/j.soard.2013.04.020

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…3 Toland and Thomson, in a review of literature, reported the incidence of acute perfotation of gastro-jejunal ulcer to be less than 1 percent. 4 Chittora reported a case of acute perforation on the efferent loop of the jejunum, close to the anastomotic site.…”

Section: Discussionmentioning

confidence: 98%

Acute perforation at the anastomotic site of gastro-jejunostomy for peptic ulcer

et al. 2016

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Section: Discussionmentioning

confidence: 98%

Acute perforation at the anastomotic site of gastro-jejunostomy for peptic ulcer

et al. 2016

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“…Although most anastomotic ulcers are reported around the gastrojejunal anastomosis and are generally related to local ischemia, helicobacter pylori, or gastric acidity [18], J-J anastomosis findings are rarely reported due to their remote location. Although the exact etiology is unclear, anastomotic ischemia is thought to be the most likely cause for J-J anastomotic ulcer formation [19].…”

Section: Discussionmentioning

confidence: 99%

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Peleg¹,

Yanai²,

Gingold‐Belfer³

et al. 2022

Dig Dis

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Background and aim: Minimal data is available regarding the performance of video capsule endoscopy (VCE) in patients that underwent bariatric surgery. We aim to report indications, feasibility and safety of VCE performed after bariatric surgery, specifically focusing on diagnosis rates of Crohn’s disease (CD) in this population. Methods: A retrospective analysis of all VCE procedures performed between January 2015 to December 2019. All patients that underwent bariatric surgery prior to VCE were included. Indication for VCE, Ingestion methods, completion rates, retention rates, and endoscopic findings were recorded. Results: A total of 1255 patients underwent VCE examination during the study period, of which 31 (2.5%) underwent bariatric surgery prior to VCE. The most common bariatric surgery was laparoscopic sleeve gastrectomy (16 patients, 51.6%) and the most common indication for VCE was evaluation of iron deficiency anemia (14 patients, 45.1%). The majority of patient ingested the capsule independently, without endoscopic assistance (20, 64.5%). Although patency capsule was not used in our cohort, no events of capsule retention were documented. Mean transit time was 4.32 hours. Only 4 events of incomplete examination were recorded. Over a median follow up of 27.5 months (IQR 13.0-34.2) 10 patients (31.2%) had a final diagnosis of CD with a median Lewis score of 225 (IQR 135-900). Conclusion: VCE is a feasible and safe procedure after bariatric surgery. Oral ingestion does not carry risk of retention. It is an effective means of diagnosis of small bowel CD in this population.

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“…Skin staples were removed on the Rangarajan reported a case of gastrojejunostomy anastomotic site perforation on jejunal side was reported by laparoscopy [6]. Kalaiselvan et al reported the incidence of 1 in 120 patients who underwent laparoscopic Roux-en-Y gastric bypass for morbid obesity [7]. Goud et al also reported such a case in 2015 [8].…”

Section: Case Reportmentioning

confidence: 99%

Perforation of the Anastomotic Line Post-Truncal Vagotomy and Gastrojejunostomy

Basu¹

2018

IJCR

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Late perforation at the jejuno-jejunal anastomosis after laparoscopic gastric bypass for morbid obesity

Cited by 8 publications

References 10 publications

Acute perforation at the anastomotic site of gastro-jejunostomy for peptic ulcer

Acute perforation at the anastomotic site of gastro-jejunostomy for peptic ulcer

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Perforation of the Anastomotic Line Post-Truncal Vagotomy and Gastrojejunostomy

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