Stenosis of the Gastroenterostomy after Laparoscopic Gastric Bypass
Autor: | Marilyn Chazin-Caldie, Scott R Ketover, Raymond L Drew, Michael L Schwartz, Ryan W Roiger |
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Rok vydání: | 2004 |
Předmět: |
Adult
Male medicine.medical_specialty Gastroplasty Endocrinology Diabetes and Metabolism medicine.medical_treatment Gastric bypass Gastric Bypass Laparoscopic gastric bypass Constriction Pathologic Anastomosis Catheterization Fascia lata Surgical Stapling Humans Medicine Prospective Studies Laparoscopy Nutrition and Dietetics medicine.diagnostic_test business.industry Anastomosis Roux-en-Y Middle Aged medicine.disease Gastroenterostomy Endoscopy Surgery Stenosis medicine.anatomical_structure Female Radiology business |
Zdroj: | Obesity Surgery. 14:484-491 |
ISSN: | 1708-0428 0960-8923 |
Popis: | Background: Stenosis of the gastroenterostomy after laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a serious problem that occurs after stapled (linear or circular) and hand-sewn anastomoses. Methods: Data was prospectively entered into a database to track complications of bariatric surgery. Between Feb 27, 1999 and June 13, 2000, 1000 patients underwent LRYGBP. All patients met NIH criteria for bariatric surgery.The gastroenterostomy was constructed with a linear stapler inserted to 20 mm (15 mm cut). The stapler defect was closed with a polyester running suture to construct a 12-mm diameter anastomosis. The anastomosis was banded with fascia lata to prevent late enlargement. All patients with suspected stenosis were endoscoped. Results: 32 patients (3.2%) developed stenosis ( |
Databáze: | OpenAIRE |
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