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Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity.
Surg Endosc. 2003 Apr; 17(4):610-4.SE

Abstract

BACKGROUND

We reviewed our experience with complications following laparoscopic Roux-en-Y gastric bypass (LRYGB) that were managed laparoscopically.

METHODS

A total of 246 consecutive morbidly obese patients (mean body mass index, 50.9 kg/m2) underwent LRYGB by three surgeons at two institutions. All patients met National Institutes of Health criteria for surgical treatment of morbid obesity. Patients were followed prospectively.

RESULTS

A total of 62 patients (25.2%) developed 64 complications, 34 of which (13.8%) required a surgical intervention. Twenty-seven of the 34 procedures were performed laparoscopically. Gastrojejunostomy stricture was the most common complication (8.9%), followed by intestinal obstruction (7.3%) and gastrointestinal bleeding (4%). The intestinal obstruction was secondary to adhesions (n = 6), internal hernia at the level of the transverse mesocolon (n = 3), jejunojejunostomy stricture (n = 3), and cicatrix around the Roux limb at the level of the transverse mesocolon (n = 3). Other complications included gastrojejunostomy leak (1.6%), symptomatic gallstone disease (2.8%), and gastric remnant perforation (0.8%). One patient underwent a negative laparoscopy to rule out anastomotic leak. There were 3 deaths in this series of patients, 2 attributable to anastomotic leak.

CONCLUSIONS

A variety of complications can present after LRYGB. Laparoscopy is an excellent technique to treat these complications.

Authors+Show Affiliations

Department of Surgery, Temple University Clinical Campus at the Western Pennsylvania Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12582772

Citation

Papasavas, P K., et al. "Laparoscopic Management of Complications Following Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity." Surgical Endoscopy, vol. 17, no. 4, 2003, pp. 610-4.
Papasavas PK, Caushaj PF, McCormick JT, et al. Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2003;17(4):610-4.
Papasavas, P. K., Caushaj, P. F., McCormick, J. T., Quinlin, R. F., Hayetian, F. D., Maurer, J., Kelly, J. J., & Gagné, D. J. (2003). Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surgical Endoscopy, 17(4), 610-4.
Papasavas PK, et al. Laparoscopic Management of Complications Following Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity. Surg Endosc. 2003;17(4):610-4. PubMed PMID: 12582772.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity. AU - Papasavas,P K, AU - Caushaj,P F, AU - McCormick,J T, AU - Quinlin,R F, AU - Hayetian,F D, AU - Maurer,J, AU - Kelly,J J, AU - Gagné,D J, Y1 - 2003/02/17/ PY - 2002/02/13/received PY - 2002/09/11/accepted PY - 2003/2/13/pubmed PY - 2003/5/9/medline PY - 2003/2/13/entrez SP - 610 EP - 4 JF - Surgical endoscopy JO - Surg Endosc VL - 17 IS - 4 N2 - BACKGROUND: We reviewed our experience with complications following laparoscopic Roux-en-Y gastric bypass (LRYGB) that were managed laparoscopically. METHODS: A total of 246 consecutive morbidly obese patients (mean body mass index, 50.9 kg/m2) underwent LRYGB by three surgeons at two institutions. All patients met National Institutes of Health criteria for surgical treatment of morbid obesity. Patients were followed prospectively. RESULTS: A total of 62 patients (25.2%) developed 64 complications, 34 of which (13.8%) required a surgical intervention. Twenty-seven of the 34 procedures were performed laparoscopically. Gastrojejunostomy stricture was the most common complication (8.9%), followed by intestinal obstruction (7.3%) and gastrointestinal bleeding (4%). The intestinal obstruction was secondary to adhesions (n = 6), internal hernia at the level of the transverse mesocolon (n = 3), jejunojejunostomy stricture (n = 3), and cicatrix around the Roux limb at the level of the transverse mesocolon (n = 3). Other complications included gastrojejunostomy leak (1.6%), symptomatic gallstone disease (2.8%), and gastric remnant perforation (0.8%). One patient underwent a negative laparoscopy to rule out anastomotic leak. There were 3 deaths in this series of patients, 2 attributable to anastomotic leak. CONCLUSIONS: A variety of complications can present after LRYGB. Laparoscopy is an excellent technique to treat these complications. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/12582772/Laparoscopic_management_of_complications_following_laparoscopic_Roux_en_Y_gastric_bypass_for_morbid_obesity_ L2 - https://doi.org/10.1007/s00464-002-8826-6 DB - PRIME DP - Unbound Medicine ER -