The bypassed stomach

Flickinger, E G; Sinar, Dennis R.; Pories, Walter J.; Sloss, Robert R.; Park, H. Kim; Gibson, Jean H.

doi:10.1016/s0002-9610(85)80025-8

Cited by 96 publications

(38 citation statements)

References 8 publications

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“…The most common etiology of bleeding from BS is peptic ulcer disease (PUD), but the true incidence of bleeding from the BS is not known. One series reported only 8 of 3000 (0.26%) patients experienced GI bleeding from PUD involving the BS [7] . Endoscopic examination of the BS is a challenge in this patient population as it is difficult to reach the BS with conventional endoscopy.…”

Section: Bleeding After Gbs Has Been Classified As Early (< 48 H)mentioning

confidence: 99%

“…Flickinger and colleagues described the use of a pediatric colonoscope in 1985. In that series of 78 procedures, 68% of the attempts to pass through the jejunostomy for retrograde evaluation of duodenum and BS were successful [7] . Later, Sinar et al evaluated the BS by retrograde endoscopy and reported a successful procedure in 65% (33/51) of their patients [8] .…”

Section: Bleeding After Gbs Has Been Classified As Early (< 48 H)mentioning

confidence: 99%

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Investigation of the excluded stomach after Roux-en-Y gastric bypass: The role of percutaneous endoscopy

Gill¹,

McKinney²,

Stark³

et al. 2008

WJG

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Accessing the bypassed portion of the stomach via conventional endoscopy is difficult following Roux-en-Y gastric bypass surgery. However, endoscopic examination of the stomach and small bowel is possible through percutaneous access into the bypassed stomach (BS) with a combined radiologic and endoscopic technique. We present a case of obscure overt gastrointestinal (GI) bleeding where the source of bleeding was thought to be from the BS. After conventional endoscopic methods failed to examine the BS, percutaneous endoscopy (PE) was used as an alternative to surgical exploration.

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Section: Bleeding After Gbs Has Been Classified As Early (< 48 H)mentioning

confidence: 99%

Section: Bleeding After Gbs Has Been Classified As Early (< 48 H)mentioning

confidence: 99%

Investigation of the excluded stomach after Roux-en-Y gastric bypass: The role of percutaneous endoscopy

Gill¹,

McKinney²,

Stark³

et al. 2008

WJG

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“…20 ml) is created, anastomosed to a Roux-en-Y jejunal limb between 100 and 150 cm long. Currently, the early endoscopic evaluation (2-6 months after surgery) has been the main indicator for this approach, mainly in symptomatic patients 2,10,12,14,16,17,18,19,21,22,23,24,26,27 . However, there are many new endoscopic procedures and techniques used for these obese patients which have been designed as alternative management and therefore, we believe that the knowledge of the long-term macroscopic and histological aspects of all bariatric procedures will be increasingly necessary.…”

mentioning

confidence: 99%

“…We also have performed a prospective endoscopic and histological evaluation of both the gastric pouch and jejunal limb at a mean of 27 months after surgery 10 . This is the only prospective study, compared to ten previous endoscopic studies, which were all retrospective and performed in symptomatic patients 2,12,14,16,17,18,19,21,22,23,24,26,27 . Therefore, the purpose of the present prospective investigation was to perform routine sequential endoscopic studies (at least three in different periods) after surgery, in order to determine two aspects: a) behavior of gastric pouch in terms of pathological findings and eventual increase in size or diameter of anastomosis; b) variations in the gastric pouch when infected with H. pylori.…”

mentioning

confidence: 99%

Estudos endoscópico e histológico prospectivos e sequenciais da bolsa gástrica em 130 pacientes obesos mórbidos submetidos à bypass gástrico em Y-de-Roux

Csendes

Smok

Burgos

et al. 2012

ABCD, arq. bras. cir. dig.

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-Background -Roux-en-Y gastric bypass is the most common performed bariatric surgery. A small gastric pouch is created, leaving a narrow gastrojejunal anastomosis, with a long jejunal limb. Very little is known regarding the behavior of this pouch years after surgery. Aim -To determine through prospective sequential endoscopic studies the size of the gastric pouch, the diameter of the anastomosis, and the behavior of H. pylori infection after surgery. Methods -In 130 patients subjected to resectional gastric bypass, several routine sequential endoscopic (until 120 months) and histological evaluations of the gastric pouch were performed. Results -After surgery, a mean of 3.6 endoscopies/patient were performed. Macroscopically nearly 95% of the small gastric pouches were normal, and the main pathological finding was a marginal ulcer. Erosive esophagitis disappeared in 93% of the patients. There was no increase in the orocaudal size of the pouch during this period of observation. There was no dilatation of the diameter of gastrojejunal anastomosis. Near 54% of all patients had normal fundic mucosa, while 18% had chronic active gastritis, coincident with H. pylori infection. Five patients had intestinal metaplasia. Conclusion -Based on this sequential endoscopic evaluation, there was no increase in the orocaudal size of the gastric pouch nor increase in the diameter of the gastrojejunal anastomosis. H. pylori behavior was inconsistent and difficult to interpret. ABCDDV/878RESUMO -Racional -Bypass gástrico em Y-de-Roux é a operação bariátrica mais comumente realizada. Pequena bolsa gástrica é criada, deixando uma anastomose gastrojejunal estreita, com uma alça jejunal mais comprida.

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“…Subsequently, a Roux-en-Y jejunojejunostomy is constructed, and the free end of the jejunum is brought up to the gastric pouch and anastomosed to it with a stoma diameter of approximately 1 .0 cm. Food and barium bypass the gastric body, antrum, and duodenum, thus precluding examination of these organs by antegrade contrast studies or routine endoscopy [3,4]. We described a technique of percutaneous examination of the bypassed stomach in 1983 [5].…”

mentioning

confidence: 99%