Management of gastrogastric fistulas after divided Roux-en-Y gastric bypass surgery for morbid obesity: analysis of 1292 consecutive patients and review of literature

Carrodeguas, Lester; Szomstein, Samuel; Soto, Flavia; Whipple, Oliver; Simpfendorfer, Conrad; Gonzalvo, John Paul; Villares, Alexander; Zundel, Natán; Rosenthal, Raúl J.

doi:10.1016/j.soard.2005.07.003

Cited by 181 publications

(105 citation statements)

References 26 publications

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“…In symptomatic patients, gastro-gastric fistula should be managed surgically [27,54]. In asymptomatic patients a fistula may be followed and does not necessarily mandate surgical intervention [55,56].…”

Section: Gastrointestinal Obstructionmentioning

confidence: 99%

Complications of Roux-en-Y gastric bypass and sleeve gastrectomy

Herron

Roohipour²

2012

Abdom Radiol

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Roux-en-Y gastric bypass and sleeve gastrectomy are two of the most common bariatric procedures performed in 2011. Although the complication rates associated with these procedures are low, the consequences of these complications are significant and can be associated with high morbidity and mortality. Timely diagnosis and proper management of these complications are extremely important. The most commonly used radiologic studies in bariatric surgery are the upper GI contrast study and the CT scan, which are used to rule out leak, obstruction, perforation, anastomotic stricture, or pouch dilatation. As with all imaging studies, a negative result should not override strong clinical suspicion of a complication.

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Section: Gastrointestinal Obstructionmentioning

confidence: 99%

Complications of Roux-en-Y gastric bypass and sleeve gastrectomy

Herron

Roohipour²

2012

Abdom Radiol

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“…Patients who never lose weight may have had a technical complication such as incomplete stapling [224,225] or an inappropriate operation. Those who regain weight after years may have experienced staple line recanalization or behavioral failure [226].…”

Section: Anatomic Failurementioning

confidence: 99%

“…In either case, conversion to RGB is therapeutic [241]. Easily treated marginal ulcers are common in the healing phase [242], but later should raise concern for salicylate or nonsteroidal antiinflammatory drug (NSAID) abuse [243] or gastrogastric fistula [224]. Late gastrogastric fistula closure may be a difficult procedure requiring laparotomy, sometimes with resection [225], whereas marginal ulcer perforation is more easily managed with a laparoscopic approach [244].…”

Section: Secondary Complicationsmentioning

confidence: 99%

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Farrell

Haggerty²,

Overby

et al. 2009

Surg Endosc

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“…Due to improved surgical techniques, ruptured staple line, anastomotic dilation, and formation of fistula are now rare causes of weight regain but still can occur in about 2-5 % of patients [145,146]. Binge eating disorder and grazing can be causes of inadequate weight loss and weight regain.…”

Section: Inadequate Weight Loss and Weight Regainmentioning

confidence: 99%