Stenosis of the Gastroenterostomy after Laparoscopic Gastric Bypass

Schwartz, Michael L.; Drew, Raymond L; Roiger, Ryan W; Ketover, Scott R.; Chazin-Caldie, Marilyn

doi:10.1381/096089204323013460

Cited by 80 publications

(56 citation statements)

References 18 publications

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“…Of the 18 studies describing the method of anastomosis, 12 (70.5%) used a circular stapler and, five of them, also used either manual suturing 20,24 or a linear stapler 17,28,29 . Four studies used a linear stapler only 4,18,22,26 and one study used manual suturing only 11 . One study did not describe the type of stapler 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Dilations using Savary-Gilliard bougies were performed in a total of four studies (Figure 2). The use of other types of balloon such as angioplasty-type polyethylene balloon catheters 30 , polyvinyl chloride and polyethylene balloons 20 , and pneumatic balloons 26 was also reported. One study did not state the type or diameter of dilator used 23 .…”

Section: Resultsmentioning

confidence: 99%

“…One (8%) left the balloon inflated until the waist disappeared, followed by another dilation lasting 30-60 s 19 . Seven studies reported complications 6,11,17,20,23,26,29 (T able 4). Perforation was the most common complication, reported in 14 patients (1.82%) and requiring immediate operation in two patients 26 .…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies reported complications 6,11,17,20,23,26,29 (T able 4). Perforation was the most common complication, reported in 14 patients (1.82%) and requiring immediate operation in two patients 26 . Complications were reported in five other patients: one esophageal hematoma 6 , one Mallory-Weiss tear (it was not clear if this was iatrogenic or was present before starting the procedure) 20 , one developed severe nausea and vomiting 23 , and two developed severe abdominal pain 29 …”

Section: Resultsmentioning

confidence: 99%

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Dilatação endoscópica de anastomose gastrojejunal após bypass gástrico

Campos

Mello

Ferraz

et al. 2012

ABCD, arq. bras. cir. dig.

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-Introduction -Roux-en-Y gastric bypass may result in stenosis of the gastrojejunal anastomosis. There is currently no well-defined management protocol for this complication. Aim -Through systematic review, to analyze the results of endoscopic dilation in patients with stenosis, including complication and success rates. Methods -The PubMed database was searched for relevant studies published each year from 1988 to 2010, and 23 studies were identified for analysis. Only papers describing the treatment of anastomotic stricture after Roux-en-Y gastric bypass were included, and case reports featuring less than three patients were excluded. Results -The mean age of the trial populations was 42.3 years and mean preoperative body mass index was 48.8 kg/m². A total of 1,298 procedures were undertaken in 760 patients (81% female), performing 1.7 dilations per patient. Through-the-scope balloons were used in 16 studies (69.5%) and Savary-Gilliard bougies in four. Only 2% of patients required surgical revision after dilation; the reported complication rate was 2.5% (n=19). Annual success rate was greater than 98% each year from 1992 to 2010, except for a 73% success rate in 2004. Seven studies reported complications, being perforation the most common, reported in 14 patients (1.82%) and requiring immediate operation in two patients. Other complications were also reported: one esophageal hematoma, one Mallory-Weiss tear, one case of severe nausea and vomiting, and two cases of severe abdominal pain. Conclusion -Endoscopic treatment of stenosis is safe and effective; however, further high-quality randomized controlled trials should be conducted to confirm these findings. ABCDDV/885RESUMO -Introdução -Bypass gástrico em Y-de-Roux pode resultar em estenose de anastomose gastrojejunal. Não há protocolo de tratamento bem definido para essa complicação. Objetivo -Analisar os resultados da dilatação endoscópica em pacientes com estenose, através de revisão sistemática, incluindo complicações e taxa de sucesso.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Dilatação endoscópica de anastomose gastrojejunal após bypass gástrico

Campos

Mello

Ferraz

et al. 2012

ABCD, arq. bras. cir. dig.

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“…If medically indicated and if such a patient is willing, further bariatric surgery should be undertaken (EL B, C, D [132][133][134][135][136][137][138][139][140][141][142][143][144][145] ).…”

Section: Failed Treatmentmentioning

confidence: 99%

Inter-disciplinary European guidelines on surgery of severe obesity

et al. 2007

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In 2005, for the first time in European history, an extraordinary Expert panel named 'The BSCG' (Bariatric Scientific Collaborative Group), was appointed through joint effort of the major European Scientific Societies which are active in the field of obesity management. Societies that constituted this panel were: IFSO -International Federation for the Surgery of Obesity, IFSO-ECInternational Federation for the Surgery of Obesity -European Chapter, EASO -European Association for Study of Obesity, ECOG -European Childhood Obesity Group, together with the IOTF (International Obesity Task Force) which was represented during the completion process by its representative. The BSCG was composed not only of the top officers representing the respective Scientific Societies (four acting presidents, two past presidents, one honorary president, two executive directors), but was balanced with the presence of many other key opinion leaders in the field of obesity. The BSCG composition allowed the coverage of key disciplines in comprehensive obesity management, as well as reflecting European geographical and ethnic diversity. This joint BSCG expert panel convened several meetings which were entirely focused on guidelines creation, during the past two years. There was a specific effort to develop clinical guidelines, which will reflect current knowledge, expertize and evidence based data on morbid obesity treatment.

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