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Endotherapy in unusual bariatric surgical complications (with videos).
Obes Surg. 2008 Apr; 18(4):423-8.OS

Abstract

Roux-en-Y gastric bypass (RYGBP) is the most commonly performed bariatric operation in the USA. We hypothesize that therapeutic endoscopy can be used to treat some unusual post-operative complications. We report two cases of early post-operative complications: (1) gastrogastrotomy (GG) stricture and (2) "trans-mesenteric tunnel" or "mesocolic" jejunal stricture. Endoscopic strictureplasty/revision of the gastric pouch of a bypass after gastroplasty was performed. The mesocolic stricture was managed with endoscopic dilatation using the achalasia dilating balloon under fluoroscopic and endoscopic guidance. With endotherapy, the patient with the GG stricture did not require re-operation, and there were no complications or stricture recurrence. The patient with mesocolic stricture responded short-term to endotherapy but ultimately required surgical adhesion lysis. None of these patients developed any procedure-related complications. Thus, in patients with unusual post-operative complications after RYGBP, endotherapy may be useful when there is good collaboration between the endoscopist and the surgeon.

Authors+Show Affiliations

Division of Digestive and Liver Diseases, Department of Internal Medicine, The UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9151, USA. shou-jiang.tang@utsouthwestern.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18297367

Citation

Tang, Shou-jiang, et al. "Endotherapy in Unusual Bariatric Surgical Complications (with Videos)." Obesity Surgery, vol. 18, no. 4, 2008, pp. 423-8.
Tang SJ, Tang L, Jazrawi SF, et al. Endotherapy in unusual bariatric surgical complications (with videos). Obes Surg. 2008;18(4):423-8.
Tang, S. J., Tang, L., Jazrawi, S. F., & Provost, D. A. (2008). Endotherapy in unusual bariatric surgical complications (with videos). Obesity Surgery, 18(4), 423-8. https://doi.org/10.1007/s11695-008-9448-4
Tang SJ, et al. Endotherapy in Unusual Bariatric Surgical Complications (with Videos). Obes Surg. 2008;18(4):423-8. PubMed PMID: 18297367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endotherapy in unusual bariatric surgical complications (with videos). AU - Tang,Shou-jiang, AU - Tang,Linda, AU - Jazrawi,Saad F, AU - Provost,David A, Y1 - 2008/02/23/ PY - 2007/12/27/received PY - 2008/01/22/accepted PY - 2008/2/26/pubmed PY - 2008/9/26/medline PY - 2008/2/26/entrez SP - 423 EP - 8 JF - Obesity surgery JO - Obes Surg VL - 18 IS - 4 N2 - Roux-en-Y gastric bypass (RYGBP) is the most commonly performed bariatric operation in the USA. We hypothesize that therapeutic endoscopy can be used to treat some unusual post-operative complications. We report two cases of early post-operative complications: (1) gastrogastrotomy (GG) stricture and (2) "trans-mesenteric tunnel" or "mesocolic" jejunal stricture. Endoscopic strictureplasty/revision of the gastric pouch of a bypass after gastroplasty was performed. The mesocolic stricture was managed with endoscopic dilatation using the achalasia dilating balloon under fluoroscopic and endoscopic guidance. With endotherapy, the patient with the GG stricture did not require re-operation, and there were no complications or stricture recurrence. The patient with mesocolic stricture responded short-term to endotherapy but ultimately required surgical adhesion lysis. None of these patients developed any procedure-related complications. Thus, in patients with unusual post-operative complications after RYGBP, endotherapy may be useful when there is good collaboration between the endoscopist and the surgeon. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/18297367/Endotherapy_in_unusual_bariatric_surgical_complications__with_videos__ L2 - https://dx.doi.org/10.1007/s11695-008-9448-4 DB - PRIME DP - Unbound Medicine ER -