Tags

Type your tag names separated by a space and hit enter

Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass.
Surg Endosc. 2003 Mar; 17(3):416-20.SE

Abstract

BACKGROUND

The management of strictures after gastric bypass procedure using balloon dilation is described.

METHODS

A retrospective review of all dilations performed is presented. Balloon dilators were used, and all strictures were dilated initially up to 12 to 15 mm for 1 min.

RESULTS

The review included 24 patients with a mean age of 42.8 years and a mean body mass index of 49.6. All the patients except one were women. In terms of procedure, 67% required one dilation and 30% required two. In the first 3 months after surgery, 21 patients developed the stricture. Three patients (13%) had leaks. There was no endoscopic appearance suggesting the need for a repeated procedure. All the dilations were successful, and weight loss compared well with that in the rest of the patients.

CONCLUSIONS

A successful technique for the treatment of anastomotic strictures after gastric bypass is presented. Most of the patients required one dilation. Most strictures appeared during the first 3 months after surgery. Female gender and leak may be high risk factors for the development of stricture.

Authors+Show Affiliations

Department of Surgery, Division of Minimally Invasive Surgery, Saint Francis Hospital and Medical Center, University of Connecticut, Hartford, USA. cbarba@stfranciscare.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12457221

Citation

Barba, C A., et al. "Endoscopic Dilation of Gastroesophageal Anastomosis Stricture After Gastric Bypass." Surgical Endoscopy, vol. 17, no. 3, 2003, pp. 416-20.
Barba CA, Butensky MS, Lorenzo M, et al. Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass. Surg Endosc. 2003;17(3):416-20.
Barba, C. A., Butensky, M. S., Lorenzo, M., & Newman, R. (2003). Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass. Surgical Endoscopy, 17(3), 416-20.
Barba CA, et al. Endoscopic Dilation of Gastroesophageal Anastomosis Stricture After Gastric Bypass. Surg Endosc. 2003;17(3):416-20. PubMed PMID: 12457221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass. AU - Barba,C A, AU - Butensky,M S, AU - Lorenzo,M, AU - Newman,R, Y1 - 2002/12/04/ PY - 2002/08/09/received PY - 2002/09/05/accepted PY - 2002/11/29/pubmed PY - 2003/5/7/medline PY - 2002/11/29/entrez SP - 416 EP - 20 JF - Surgical endoscopy JO - Surg Endosc VL - 17 IS - 3 N2 - BACKGROUND: The management of strictures after gastric bypass procedure using balloon dilation is described. METHODS: A retrospective review of all dilations performed is presented. Balloon dilators were used, and all strictures were dilated initially up to 12 to 15 mm for 1 min. RESULTS: The review included 24 patients with a mean age of 42.8 years and a mean body mass index of 49.6. All the patients except one were women. In terms of procedure, 67% required one dilation and 30% required two. In the first 3 months after surgery, 21 patients developed the stricture. Three patients (13%) had leaks. There was no endoscopic appearance suggesting the need for a repeated procedure. All the dilations were successful, and weight loss compared well with that in the rest of the patients. CONCLUSIONS: A successful technique for the treatment of anastomotic strictures after gastric bypass is presented. Most of the patients required one dilation. Most strictures appeared during the first 3 months after surgery. Female gender and leak may be high risk factors for the development of stricture. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/12457221/Endoscopic_dilation_of_gastroesophageal_anastomosis_stricture_after_gastric_bypass_ L2 - https://dx.doi.org/10.1007/s00464-002-8908-5 DB - PRIME DP - Unbound Medicine ER -