Endoscopic Dilation of Bariatric RNY Anastomotic Strictures: a Systematic Review and Meta-analysis

被引：14

作者：

Baumann, Alexandra J. ^{[1
]}

Mramba, Lazarus Katana ^{[2
]}

Hawkins, Russell B. ^{[3
]}

Carpenter, Anne-Marie ^{[3
]}

Fleisher, Max S. ^{[4
]}

Ayzengart, Alexander L. ^{[5
]}

Estores, David S., Jr. ^{[1
]}

机构：

[1] Univ Florida, Div Gastroenterol Hepatol & Nutr, Coll Med, POB 100214, Gainesville, FL 32610 USA

[2] Univ Florida, Dept Med, Coll Med, POB 100277, Gainesville, FL 32610 USA

[3] Univ Florida, Dept Surg, Coll Med, POB 100286, Gainesville, FL 32610 USA

[4] Univ Florida, Coll Med, 1600 SW Archer Rd, Gainesville, FL 32608 USA

[5] Univ Florida, Dept Surg, Coll Med, 1600 SW Archer Rd,Ste 6165, Gainesville, FL 32608 USA

来源：

OBESITY SURGERY | 2018年 / 28卷 / 12期

关键词：

Anastomosis; surgical; adverse effects; Roux-en-Y; Endoscopy; gastrointestinal; Constriction; Pathologic; etiology; therapy; Adults; Humans; LAPAROSCOPIC GASTRIC BYPASS; BALLOON DILATION; GASTROJEJUNAL STRICTURES; STOMAL STENOSIS; MANAGEMENT; PREDICTORS;

D O I：

10.1007/s11695-018-3491-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Gastrojejunostomy anastomotic strictures are a complication of Roux-en-Y gastric bypass surgery without an established treatment guideline. A systematic review and meta-analysis were performed to determine the safety and efficacy of endoscopic dilation in their management. PubMed, Web of Science, and Cochrane Central (1994-2017) were searched. Data was analyzed with random effects meta-analysis and mixed effects meta-regression. Twenty-one observational studies (896 patients) were included. The stricture rate for laparoscopic patients was 6% (95% CI, 5-9%). Only 38% (95% CI, 30-47%) required greater than one dilation. Symptom improvement occurred in 97% (95% CI, 94-98%). The complication rate was 4% (95% CI, 3-6%). Endoscopic dilation of GJA strictures is safe, effective, and sustaining. This study can guide endoscopists in the treatment of a common bariatric surgical complication.

引用

页码：4053 / 4063

页数：11

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