Stricture dilation after laparoscopic Roux-en-Y gastric bypass

被引：44

作者：

Rossi, TR ^{[1
]}

Dynda, DI ^{[1
]}

Estes, NC ^{[1
]}

Marshall, JS ^{[1
]}

机构：

[1] Univ Illinois, Coll Med, Dept Surg, Peoria, IL 61603 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2005年 / 189卷 / 03期

关键词：

morbid obesity; Roux-en-Y gastric bypass; gastrojejunal anastomotic stricture; endoscopic balloon dilation;

D O I：

10.1016/j.amjsurg.2004.11.026

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: In surgical treatment of morbid obesity, maintaining a restrictive anastomosis is key to long-range success. However, laparoscopic Roux-en-Y gastric bypass (LRYGB) may result in gastrojejunal (GJ) stricture, requiring treatment in up to 27% of patients. Methods: This is a retrospective review of the outcome of 223 consecutive LRYGB patients. Patients developing stricture received standard endoscopic balloon dilation by the same surgeon. Stricture and nonstricture groups were compared for excess body weight loss (EBWL) at 1, 3, 6, and 12 months. Results: GJ stricture requiring dilation occurred in 38 patients (17%). After dilation all patients were relieved of stricture symptoms and none required revision. By 12 months, patients with stricture had an EBWL of 86% compared with nonstrictured patients at 75%. Conclusion: Endoscopic balloon dilation is a safe and effective treatment option for GJ stricture. Improved weight loss occurred for patients with stricture requiring dilation. (c) 2005 Excerpta Medica Inc. All rights reserved.

引用

页码：357 / 360

页数：4

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