Experience with the circular stapler for the gastrojejunostomy in laparoscopic gastric bypass (350 cases).

Autor: Luján JA; Departamento de Cirugía General Hospital Universitario 'Virgen de la Arrixaca', Murcia, Spain. juanlujan@telefonica.net, Frutos MD, Hernández Q, Cuenca JR, Valero G, Parrilla P
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2005 Sep; Vol. 15 (8), pp. 1096-102.
DOI: 10.1381/0960892055002220
Abstrakt: Background: The increased incidence of morbid obesity has resulted in an increase in bariatric surgery. The gastrojejunostomy performed during Roux-en-Y gastric bypass (RYGBP) operations has technical variability with different outcomes and complication-rates immediate postoperatively and at long-term follow-up.
Methods: Between Jan 2000 and Feb 2005, 350 laparoscopic RYGBP procedures were performed. We present our immediate and follow-up rate of complications with total intraabdominal gastrojejunostomy, performed with the circular stapler.
Results: Complications of gastrojejunostomy were detected in 24 patients (6.8%): 3 anastomotic leaks (0.8%); 6 bleeding (1.7%) immediately postoperatively, and 4 stenoses (1.1%), 10 ulcers (2.8%) and 1 stenosis plus ulcer (0.3%) during long-term follow-up. There was no mortality related to the gastrojejunostomy.
Conclusions: The gastrojejunostomy with circular stapler is an easily reproducible procedure. The rate of complications has been low. Surgeons who perform laparoscopic RYGBP should have a careful learning curve, and should be aware of the potential complications and their management.
Databáze: MEDLINE
Externí odkaz: