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Stricture dilation after laparoscopic Roux-en-Y gastric bypass.
Am J Surg. 2005 Mar; 189(3):357-60.AJ

Abstract

BACKGROUND

In surgical treatment of morbid obesity, maintaining a restrictive anastomosis is key to long-range success. However, laparoscopic Roux-en-Y gastric bypass (LRYGB) may result in gastrojejunal (GJ) stricture, requiring treatment in up to 27% of patients.

METHODS

This is a retrospective review of the outcome of 223 consecutive LRYGB patients. Patients developing stricture received standard endoscopic balloon dilation by the same surgeon. Stricture and nonstricture groups were compared for excess body weight loss (EBWL) at 1, 3, 6, and 12 months.

RESULTS

GJ stricture requiring dilation occurred in 38 patients (17%). After dilation all patients were relieved of stricture symptoms and none required revision. By 12 months, patients with stricture had an EBWL of 86% compared with nonstrictured patients at 75%.

CONCLUSION

Endoscopic balloon dilation is a safe and effective treatment option for GJ stricture. Improved weight loss occurred for patients with stricture requiring dilation.

Authors+Show Affiliations

Department of Surgery, University of Illinois College of Medicine at Peoria, 624 N.E. Glen Oak Ave., Peoria, IL 61603-3135, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15792769

Citation

Rossi, Thomas R., et al. "Stricture Dilation After Laparoscopic Roux-en-Y Gastric Bypass." American Journal of Surgery, vol. 189, no. 3, 2005, pp. 357-60.
Rossi TR, Dynda DI, Estes NC, et al. Stricture dilation after laparoscopic Roux-en-Y gastric bypass. Am J Surg. 2005;189(3):357-60.
Rossi, T. R., Dynda, D. I., Estes, N. C., & Marshall, J. S. (2005). Stricture dilation after laparoscopic Roux-en-Y gastric bypass. American Journal of Surgery, 189(3), 357-60.
Rossi TR, et al. Stricture Dilation After Laparoscopic Roux-en-Y Gastric Bypass. Am J Surg. 2005;189(3):357-60. PubMed PMID: 15792769.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stricture dilation after laparoscopic Roux-en-Y gastric bypass. AU - Rossi,Thomas R, AU - Dynda,Danuta I, AU - Estes,Norman C, AU - Marshall,J Stephen, PY - 2004/09/14/received PY - 2004/11/23/revised PY - 2004/11/23/accepted PY - 2005/3/29/pubmed PY - 2005/5/4/medline PY - 2005/3/29/entrez SP - 357 EP - 60 JF - American journal of surgery JO - Am. J. Surg. VL - 189 IS - 3 N2 - BACKGROUND: In surgical treatment of morbid obesity, maintaining a restrictive anastomosis is key to long-range success. However, laparoscopic Roux-en-Y gastric bypass (LRYGB) may result in gastrojejunal (GJ) stricture, requiring treatment in up to 27% of patients. METHODS: This is a retrospective review of the outcome of 223 consecutive LRYGB patients. Patients developing stricture received standard endoscopic balloon dilation by the same surgeon. Stricture and nonstricture groups were compared for excess body weight loss (EBWL) at 1, 3, 6, and 12 months. RESULTS: GJ stricture requiring dilation occurred in 38 patients (17%). After dilation all patients were relieved of stricture symptoms and none required revision. By 12 months, patients with stricture had an EBWL of 86% compared with nonstrictured patients at 75%. CONCLUSION: Endoscopic balloon dilation is a safe and effective treatment option for GJ stricture. Improved weight loss occurred for patients with stricture requiring dilation. SN - 0002-9610 UR - https://www.unboundmedicine.com/medline/citation/15792769/Stricture_dilation_after_laparoscopic_Roux_en_Y_gastric_bypass_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(05)00054-1 DB - PRIME DP - Unbound Medicine ER -