Stenosis of the Gastroenterostomy after Laparoscopic Gastric Bypass

Autor: Marilyn Chazin-Caldie, Scott R Ketover, Raymond L Drew, Michael L Schwartz, Ryan W Roiger
Rok vydání: 2004
Předmět:
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