Endoscopic Management of an Excluded Gastric Segment after Reversal of Roux-en-Y Gastric Bypass
[...]metabolic disturbances, nutritional abnormalities, recurrent ulceration, or chronic pain, among other comorbidities, may necessitate reversal of the bypass back to normal anatomy.1-3 This is performed by excising the gastrojejunostomy and anastomosing the gastric pouch to the gastric remnant, a...
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Veröffentlicht in: | The American surgeon 2020-02, Vol.86 (2), p.98-100 |
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Sprache: | eng |
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Zusammenfassung: | [...]metabolic disturbances, nutritional abnormalities, recurrent ulceration, or chronic pain, among other comorbidities, may necessitate reversal of the bypass back to normal anatomy.1-3 This is performed by excising the gastrojejunostomy and anastomosing the gastric pouch to the gastric remnant, and by restoring jejunal continuity.4 Reversal is often a technically difficult procedure and can lead to a number of complications, which are reported to occur at a rate as high as 42 per cent. When this is encountered, identifying the full extent of the prior staple line can prove particularly challenging in a reoperative field. Because of the rarity of this complication and its similar appearance to the more common complication of abscess formation from anastomotic leaks, a high index of suspicion is required to make the correct diagnosis. Because of very high ileostomy output, concomitant reversal of his gastric bypass was also planned. |
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ISSN: | 0003-1348 1555-9823 |
DOI: | 10.1177/000313482008600223 |