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Surgeon-performed endoscopic dilatation of symptomatic gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass.
Obes Surg. 2003 Oct; 13(5):728-33.OS

Abstract

BACKGROUND

With increasing performance of Roux-en-Y gastric bypass (RYGBP), the postoperative complications are becoming more apparent. Gastrojejunal anastomotic strictures develop in 4.7 to 27% of patients undergoing laparoscopic RYGBP. This paper details two endoscopic techniques for dilating gastrojejunal anastomotic strictures.

METHODS

3 patients developed gastrojejunal anastomotic strictures. In each patient, the operating surgeon performed a diagnostic upper endoscopy, followed by stricture dilatation using either Savary or balloon method.

RESULTS

Patients lost a mean weight of 42 kg (range 33-50 kg) before definitive stricture treatment. Once adequately dilated, all patients received an excellent symptomatic result.

CONCLUSIONS

For the treatment of gastrojejunal anastomotic strictures, both Savary and balloon dilatation have been efficacious and easy to perform. The endpoint for stricture dilatation is 12 mm or slightly larger. The operating surgeon should acquire a working knowledge of these techniques.

Authors+Show Affiliations

Division of General Surgery, Maryland Center for Videoscopic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA. robert.bell@yale.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14627467

Citation

Bell, Robert L., et al. "Surgeon-performed Endoscopic Dilatation of Symptomatic Gastrojejunal Anastomotic Strictures Following Laparoscopic Roux-en-Y Gastric Bypass." Obesity Surgery, vol. 13, no. 5, 2003, pp. 728-33.
Bell RL, Reinhardt KE, Flowers JL. Surgeon-performed endoscopic dilatation of symptomatic gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13(5):728-33.
Bell, R. L., Reinhardt, K. E., & Flowers, J. L. (2003). Surgeon-performed endoscopic dilatation of symptomatic gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass. Obesity Surgery, 13(5), 728-33.
Bell RL, Reinhardt KE, Flowers JL. Surgeon-performed Endoscopic Dilatation of Symptomatic Gastrojejunal Anastomotic Strictures Following Laparoscopic Roux-en-Y Gastric Bypass. Obes Surg. 2003;13(5):728-33. PubMed PMID: 14627467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgeon-performed endoscopic dilatation of symptomatic gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass. AU - Bell,Robert L, AU - Reinhardt,Kate E, AU - Flowers,John L, PY - 2003/11/25/pubmed PY - 2004/3/9/medline PY - 2003/11/25/entrez SP - 728 EP - 33 JF - Obesity surgery JO - Obes Surg VL - 13 IS - 5 N2 - BACKGROUND: With increasing performance of Roux-en-Y gastric bypass (RYGBP), the postoperative complications are becoming more apparent. Gastrojejunal anastomotic strictures develop in 4.7 to 27% of patients undergoing laparoscopic RYGBP. This paper details two endoscopic techniques for dilating gastrojejunal anastomotic strictures. METHODS: 3 patients developed gastrojejunal anastomotic strictures. In each patient, the operating surgeon performed a diagnostic upper endoscopy, followed by stricture dilatation using either Savary or balloon method. RESULTS: Patients lost a mean weight of 42 kg (range 33-50 kg) before definitive stricture treatment. Once adequately dilated, all patients received an excellent symptomatic result. CONCLUSIONS: For the treatment of gastrojejunal anastomotic strictures, both Savary and balloon dilatation have been efficacious and easy to perform. The endpoint for stricture dilatation is 12 mm or slightly larger. The operating surgeon should acquire a working knowledge of these techniques. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/14627467/Surgeon_performed_endoscopic_dilatation_of_symptomatic_gastrojejunal_anastomotic_strictures_following_laparoscopic_Roux_en_Y_gastric_bypass_ L2 - https://dx.doi.org/10.1381/096089203322509291 DB - PRIME DP - Unbound Medicine ER -