Gastrojejunal Strictures after Roux-en-Y Gastric Bypass With a 21-MM Circular Stapler
| Autor: | Dolce, Charles J., Dunnican, Ward J., Kushnir, Leon, Bendana, Emma, Ata, Ashar, Singh, T. Paul |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Laparoscopic gastric bypass
Adult Male Reoperation Gastric Bypass Endoscopy Anastomosis Roux-en-Y Constriction Pathologic Jejunal Diseases Middle Aged Catheterization Morbid obesity Postoperative Complications Surgical Staplers Treatment Outcome Weight Loss Scientific Papers Humans Female Laparoscopy Stricture Retrospective Studies |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| Popis: | Introduction: Intraluminal staplers for gastrojejunostomy construction during Roux-en-Y gastric bypass (RYGBP) may be associated with postoperative strictures. We analyzed outcomes of a transabdominal circular-stapled RYGBP with evaluation of short- and long-term anastomotic complications. Methods: All laparoscopic RYGBPs performed between January 2004 and December 2005 at an academic institution were reviewed. The gastrojejunostomy was created by using the transabdominal passage of a 21-mm intraluminal circular stapler into an antecolic, antegastric Roux limb. This retrospective chart review analyzes patient demographics, anastomotic complications, and weight loss. Results: Between January 2004 and December 2005, 159 patients underwent transabdominal circular-stapled RYGBP. Fifteen patients developed a stenosis at the gastrojejunostomy, all requiring endoscopic balloon dilatation. One of these patients required laparoscopic revision of the gastrojejunostomy. Eleven strictures occurred after 30 days, whereas only 4 strictures occurred within 30 days of surgery. Two marginal ulcerations were seen within 1 year of surgery. Conclusion: Our 9.4% stricture rate parallels what has been reported in the literature. The majority of strictures were amenable to one endoscopic treatment session. Transabdominal circular-stapled gastrojejunostomy is a reproducible construct for use in bariatric surgery. |
| Databáze: | OpenAIRE |
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