Refractory strictures after Roux-en-Y gastric bypass: operative management

Cusati, Daniel; Sarr, Michael G.; Kendrick, Michael L.; Que, Florencia G.; Swain, James

doi:10.1016/j.soard.2010.11.003

Cited by 29 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Proximal strictures most commonly present with nausea, vomiting, post-prandial pain, and dysphagia [46] and usually present 3-6 weeks postoperatively. Some of the proposed mechanisms for anastomotic stricture formation include ischemia, scar formation, and use of smaller size circular stapler [47][48][49].…”

Section: Gastrointestinal Obstructionmentioning

confidence: 99%

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

Herron

Roohipour²

2012

Abdom Radiol

View full text Add to dashboard Cite

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.

show abstract

Section: Gastrointestinal Obstructionmentioning

confidence: 99%

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

Herron

Roohipour²

2012

Abdom Radiol

View full text Add to dashboard Cite

show abstract

“…A multicenter randomized trial SUSTENT revealed that endoscopic stents are mostly indicated for patients with poor performance status, high surgical risk, and life expectancy less than 2 months [ 14 ]. Cusati et al reported a case series of gastrojejunal anastomotic strictures treated by stent placement where all patients ultimately underwent surgical intervention [ 15 ]. In our institution, surgery is chosen in most cases of malignant gastric outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic duodenojejunostomy requiring a side-to-side jejunojejunostomy in malignant stenosis of the gastrojejunal anastomosis in jejunal cancer: A case report

Matsui

Murakami

Ishida

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Highlights Laparoscopic duodenojejunostomy is a common intervention for the stricture of the distal duodenum. Not all patients respond to this intervention, and methods to treat them must be discussed. Opioid-induced bowel dysfunction caused fluids to accumulate in the jejunal loop in our case. Jejunojejunostomy was a solution to treat our patient.

show abstract

“…It is these technical advantages that may result in an improved anastomotic technique with adequate mobilization and dissection to ensure a tension‐free anastomosis, accurate tissue apposition, size approximation and mucosal inversion during formation of the anastomosis . Furthermore, the increased rate of stricture associated with LRYGB could also be the long‐term result following an anastomotic leak that has healed with time . Although there was no statistically significant difference between the groups for anastomotic leak, Table shows that a number of studies demonstrated an increased incidence of leak in the LRYGB group.…”

Section: Discussionmentioning

confidence: 99%