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Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients.
Obes Surg. 2008 Feb; 18(2):155-61.OS

Abstract

BACKGROUND

Anastomotic strictures after bariatric surgery are a frequent complication that requires endoscopic management, but the optimal technique for dilation remains to be determined. The aim of this study was to evaluate the safety and efficacy of dilation with Savary-Gilliard bougies (SGB) in morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (RYGBP).

PATIENTS AND METHODS

Retrospective review of prospectively collected data from a series of 474 consecutive patients with laparoscopic bariatric surgery. Four-hundred twenty four of these patients (90%) underwent a laparoscopic RYGBP. A total of 24 patients were referred for anastomotic stricture dilation with SGB from January 1998 to December 2006.

RESULTS

A total of 24/424 patients (6%) developed a stricture that was successfully dilated with SGB. Patients were 17 females (71%) and seven males (29%) with a mean age of 41 +/- 11 years (range 24-63) and a mean BMI of 48 +/- 6 (range 40-69). The time between RYGBP and the appearance of stricture-related symptoms ranged from 29 to 154 days (mean, 69 days). The mean number of dilations was 1.6 +/- 0.6. The majority of patients required one (n = 11; 46%) or two (n = 12; 50%) dilations and only one patient required three dilations. During the initial dilation, a final diameter of 11 +/- 1.7 mm (range 7-12.8 mm) was achieved. In all cases, there was complete resolution of symptoms. There were no complications.

CONCLUSIONS

Dilation with SGB is an effective, safe, and durable method for managing anastomotic strictures after laparoscopic RYGBP.

Authors+Show Affiliations

Endoscopy Unit, Gastroenterology Department, Institut Clínic de Malalties Digestives i Metabòliques, Hospital Clínic, CIBER-ehd, IDIBAPS, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain. mgfernan@clinic.ub.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo 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

18176830

Citation

Fernández-Esparrach, Glòria, et al. "Endoscopic Dilation With Savary-Gilliard Bougies of Stomal Strictures After Laparosocopic Gastric Bypass in Morbidly Obese Patients." Obesity Surgery, vol. 18, no. 2, 2008, pp. 155-61.
Fernández-Esparrach G, Bordas JM, Llach J, et al. Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients. Obes Surg. 2008;18(2):155-61.
Fernández-Esparrach, G., Bordas, J. M., Llach, J., Lacy, A., Delgado, S., Vidal, J., Cárdenas, A., Pellisé, M., Ginès, A., Sendino, O., Zabalza, M., & Castells, A. (2008). Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients. Obesity Surgery, 18(2), 155-61. https://doi.org/10.1007/s11695-007-9372-z
Fernández-Esparrach G, et al. Endoscopic Dilation With Savary-Gilliard Bougies of Stomal Strictures After Laparosocopic Gastric Bypass in Morbidly Obese Patients. Obes Surg. 2008;18(2):155-61. PubMed PMID: 18176830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients. AU - Fernández-Esparrach,Glòria, AU - Bordas,Josep M, AU - Llach,Josep, AU - Lacy,Antonio, AU - Delgado,Salva, AU - Vidal,Josep, AU - Cárdenas,Andrés, AU - Pellisé,Maria, AU - Ginès,Angels, AU - Sendino,Oriol, AU - Zabalza,Michel, AU - Castells,Antoni, Y1 - 2008/01/05/ PY - 2007/09/20/received PY - 2007/11/13/accepted PY - 2008/1/8/pubmed PY - 2008/6/13/medline PY - 2008/1/8/entrez SP - 155 EP - 61 JF - Obesity surgery JO - Obes Surg VL - 18 IS - 2 N2 - BACKGROUND: Anastomotic strictures after bariatric surgery are a frequent complication that requires endoscopic management, but the optimal technique for dilation remains to be determined. The aim of this study was to evaluate the safety and efficacy of dilation with Savary-Gilliard bougies (SGB) in morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (RYGBP). PATIENTS AND METHODS: Retrospective review of prospectively collected data from a series of 474 consecutive patients with laparoscopic bariatric surgery. Four-hundred twenty four of these patients (90%) underwent a laparoscopic RYGBP. A total of 24 patients were referred for anastomotic stricture dilation with SGB from January 1998 to December 2006. RESULTS: A total of 24/424 patients (6%) developed a stricture that was successfully dilated with SGB. Patients were 17 females (71%) and seven males (29%) with a mean age of 41 +/- 11 years (range 24-63) and a mean BMI of 48 +/- 6 (range 40-69). The time between RYGBP and the appearance of stricture-related symptoms ranged from 29 to 154 days (mean, 69 days). The mean number of dilations was 1.6 +/- 0.6. The majority of patients required one (n = 11; 46%) or two (n = 12; 50%) dilations and only one patient required three dilations. During the initial dilation, a final diameter of 11 +/- 1.7 mm (range 7-12.8 mm) was achieved. In all cases, there was complete resolution of symptoms. There were no complications. CONCLUSIONS: Dilation with SGB is an effective, safe, and durable method for managing anastomotic strictures after laparoscopic RYGBP. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/18176830/Endoscopic_dilation_with_Savary_Gilliard_bougies_of_stomal_strictures_after_laparosocopic_gastric_bypass_in_morbidly_obese_patients_ L2 - https://dx.doi.org/10.1007/s11695-007-9372-z DB - PRIME DP - Unbound Medicine ER -