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Laparoscopic remnant gastrectomy: a novel approach to gastrogastric fistula after Roux-en-Y gastric bypass for morbid obesity.
J Am Coll Surg. 2007 Apr; 204(4):617-24.JA

Abstract

BACKGROUND

Gastrogastric fistula (GGF) is a relatively rare and devastating complication after divided Roux-en-Y gastric bypass (RYGB) for morbid obesity. The aim of this study was to review laparoscopic remnant gastrectomy (LRG) as a novel treatment option for this complication.

STUDY DESIGN

After IRB approval, we retrospectively reviewed data from all patients who underwent bariatric surgery at Cleveland Clinic Florida and from all patients who were diagnosed with GGF as a complication of RYGB, between January 2000 and March 2005. Data collected included demographics, body weight, symptoms, initial diagnostic method, indications for LRG, and postoperative complications.

RESULTS

Of 1,400 patients who had undergone RYGB in our institution during the study period, 21 patients (1.5%) were diagnosed with GGF; 4 more patients who were admitted with GGF after RYGB underwent the initial operation at another institution. Of these, 15 patients underwent LRG. Indications for surgical treatment were intractable epigastric pain (10 of 15), upper gastrointestinal bleeding (2 of 15), intolerance of soft diet (2 of 15), and weight regain (1 of 15). Mean hospital length of stay after the procedure was 4.7 days. There was no mortality, and there was no recurrence of GGF during the followup period.

CONCLUSIONS

LRG appears to be a safe and effective surgical procedure for selective patients with GGF after RYGB.

Authors+Show Affiliations

Department of Surgery, The Bariatric Institute and Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17382221

Citation

Cho, Minyoung, et al. "Laparoscopic Remnant Gastrectomy: a Novel Approach to Gastrogastric Fistula After Roux-en-Y Gastric Bypass for Morbid Obesity." Journal of the American College of Surgeons, vol. 204, no. 4, 2007, pp. 617-24.
Cho M, Kaidar-Person O, Szomstein S, et al. Laparoscopic remnant gastrectomy: a novel approach to gastrogastric fistula after Roux-en-Y gastric bypass for morbid obesity. J Am Coll Surg. 2007;204(4):617-24.
Cho, M., Kaidar-Person, O., Szomstein, S., & Rosenthal, R. J. (2007). Laparoscopic remnant gastrectomy: a novel approach to gastrogastric fistula after Roux-en-Y gastric bypass for morbid obesity. Journal of the American College of Surgeons, 204(4), 617-24.
Cho M, et al. Laparoscopic Remnant Gastrectomy: a Novel Approach to Gastrogastric Fistula After Roux-en-Y Gastric Bypass for Morbid Obesity. J Am Coll Surg. 2007;204(4):617-24. PubMed PMID: 17382221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic remnant gastrectomy: a novel approach to gastrogastric fistula after Roux-en-Y gastric bypass for morbid obesity. AU - Cho,Minyoung, AU - Kaidar-Person,Orit, AU - Szomstein,Samuel, AU - Rosenthal,Raul J, PY - 2006/10/06/received PY - 2006/12/13/revised PY - 2007/01/22/accepted PY - 2007/3/27/pubmed PY - 2007/5/2/medline PY - 2007/3/27/entrez SP - 617 EP - 24 JF - Journal of the American College of Surgeons JO - J. Am. Coll. Surg. VL - 204 IS - 4 N2 - BACKGROUND: Gastrogastric fistula (GGF) is a relatively rare and devastating complication after divided Roux-en-Y gastric bypass (RYGB) for morbid obesity. The aim of this study was to review laparoscopic remnant gastrectomy (LRG) as a novel treatment option for this complication. STUDY DESIGN: After IRB approval, we retrospectively reviewed data from all patients who underwent bariatric surgery at Cleveland Clinic Florida and from all patients who were diagnosed with GGF as a complication of RYGB, between January 2000 and March 2005. Data collected included demographics, body weight, symptoms, initial diagnostic method, indications for LRG, and postoperative complications. RESULTS: Of 1,400 patients who had undergone RYGB in our institution during the study period, 21 patients (1.5%) were diagnosed with GGF; 4 more patients who were admitted with GGF after RYGB underwent the initial operation at another institution. Of these, 15 patients underwent LRG. Indications for surgical treatment were intractable epigastric pain (10 of 15), upper gastrointestinal bleeding (2 of 15), intolerance of soft diet (2 of 15), and weight regain (1 of 15). Mean hospital length of stay after the procedure was 4.7 days. There was no mortality, and there was no recurrence of GGF during the followup period. CONCLUSIONS: LRG appears to be a safe and effective surgical procedure for selective patients with GGF after RYGB. SN - 1072-7515 UR - https://www.unboundmedicine.com/medline/citation/17382221/Laparoscopic_remnant_gastrectomy:_a_novel_approach_to_gastrogastric_fistula_after_Roux_en_Y_gastric_bypass_for_morbid_obesity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1072-7515(07)00134-2 DB - PRIME DP - Unbound Medicine ER -