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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The American surgeon 2020-02, Vol.86 (2), p.98-100
Hauptverfasser: Bruenderman, Elizabeth H., Vitale, Gary C., Kehdy, Farid J.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
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.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600223