Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass
The use of postoperative upper GI series (UGIS) after laparoscopic Roux-en-Y gastric bypass (LRYGBP) varies among bariatric surgeons. The authors describe the findings and impact of UGIS after LRYGBP. From July 2003 to January 2006, 487 patients undergoing primary LRYGBP at a single academic institu...
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| Veröffentlicht in: | Obesity surgery 2007-03, Vol.17 (3), p.311-316 |
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| creator | Raman, Raghav Raman, Bhargav Raman, Pavithra Rossiter, Stanford Curet, Myriam J Mindelzun, Robert Morton, John M |
| description | The use of postoperative upper GI series (UGIS) after laparoscopic Roux-en-Y gastric bypass (LRYGBP) varies among bariatric surgeons. The authors describe the findings and impact of UGIS after LRYGBP.
From July 2003 to January 2006, 487 patients undergoing primary LRYGBP at a single academic institution had a single-contrast Gastrografin UGIS performed on the first postoperative day, without complication. Patient and operative demographics were: mean age 43 years, mean BMI 47 kg/m2, female 84%, and laparoscopic 100%.
Of the 487 patients, the UGIS revealed 14 (2.9%) major and 88 (15.2%) minor abnormalities. Among the major UGIS abnormalities, 6 (1.2%) demonstrated a gastrojejunal anastomotic (GJA) leak, 8 (1.4%) confirmed complete obstruction at the GJA, and 1 (0.2%) disclosed a communication with the bypassed stomach. For the minor UGIS abnormalities, 45 (9.2%) displayed significant delay in contrast passage through the GJA, 23 (5.0%) had evidence of dilated loops of small and/or large bowel, and 6 (1.2%) verified miscellaneous abnormal findings (malrotation, lower esophageal dysmotility, jejunal clots). Patients with UGIS abnormalities necessitated additional procedures, delayed oral intake and/or longer length of stay (LOS).
UGIS on postoperative day 1 is a useful means of evaluating postoperative LRYGBP anatomy and influenced postoperative care. |
| doi_str_mv | 10.1007/s11695-007-9057-7 |
| format | Article |
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From July 2003 to January 2006, 487 patients undergoing primary LRYGBP at a single academic institution had a single-contrast Gastrografin UGIS performed on the first postoperative day, without complication. Patient and operative demographics were: mean age 43 years, mean BMI 47 kg/m2, female 84%, and laparoscopic 100%.
Of the 487 patients, the UGIS revealed 14 (2.9%) major and 88 (15.2%) minor abnormalities. Among the major UGIS abnormalities, 6 (1.2%) demonstrated a gastrojejunal anastomotic (GJA) leak, 8 (1.4%) confirmed complete obstruction at the GJA, and 1 (0.2%) disclosed a communication with the bypassed stomach. For the minor UGIS abnormalities, 45 (9.2%) displayed significant delay in contrast passage through the GJA, 23 (5.0%) had evidence of dilated loops of small and/or large bowel, and 6 (1.2%) verified miscellaneous abnormal findings (malrotation, lower esophageal dysmotility, jejunal clots). Patients with UGIS abnormalities necessitated additional procedures, delayed oral intake and/or longer length of stay (LOS).
UGIS on postoperative day 1 is a useful means of evaluating postoperative LRYGBP anatomy and influenced postoperative care.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-007-9057-7</identifier><identifier>PMID: 17546837</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Contrast Media ; Diatrizoate Meglumine ; Endoscopy, Gastrointestinal ; Female ; Gastric Bypass - adverse effects ; Gastrointestinal surgery ; Humans ; Laparoscopy ; Length of Stay ; Male ; Middle Aged ; Obesity ; Postoperative Complications - diagnosis ; Postoperative Period ; Radiology ; Retrospective Studies ; Surgical outcomes ; Tomography, X-Ray Computed</subject><ispartof>Obesity surgery, 2007-03, Vol.17 (3), p.311-316</ispartof><rights>Springer Science + Business Media B.V. 2007.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-abde8ea4757fe9209b81a2266db45c3f99c8f3aa368297b355ee367f52cac1df3</citedby><cites>FETCH-LOGICAL-c326t-abde8ea4757fe9209b81a2266db45c3f99c8f3aa368297b355ee367f52cac1df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17546837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raman, Raghav</creatorcontrib><creatorcontrib>Raman, Bhargav</creatorcontrib><creatorcontrib>Raman, Pavithra</creatorcontrib><creatorcontrib>Rossiter, Stanford</creatorcontrib><creatorcontrib>Curet, Myriam J</creatorcontrib><creatorcontrib>Mindelzun, Robert</creatorcontrib><creatorcontrib>Morton, John M</creatorcontrib><title>Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>The use of postoperative upper GI series (UGIS) after laparoscopic Roux-en-Y gastric bypass (LRYGBP) varies among bariatric surgeons. The authors describe the findings and impact of UGIS after LRYGBP.
From July 2003 to January 2006, 487 patients undergoing primary LRYGBP at a single academic institution had a single-contrast Gastrografin UGIS performed on the first postoperative day, without complication. Patient and operative demographics were: mean age 43 years, mean BMI 47 kg/m2, female 84%, and laparoscopic 100%.
Of the 487 patients, the UGIS revealed 14 (2.9%) major and 88 (15.2%) minor abnormalities. Among the major UGIS abnormalities, 6 (1.2%) demonstrated a gastrojejunal anastomotic (GJA) leak, 8 (1.4%) confirmed complete obstruction at the GJA, and 1 (0.2%) disclosed a communication with the bypassed stomach. For the minor UGIS abnormalities, 45 (9.2%) displayed significant delay in contrast passage through the GJA, 23 (5.0%) had evidence of dilated loops of small and/or large bowel, and 6 (1.2%) verified miscellaneous abnormal findings (malrotation, lower esophageal dysmotility, jejunal clots). Patients with UGIS abnormalities necessitated additional procedures, delayed oral intake and/or longer length of stay (LOS).
UGIS on postoperative day 1 is a useful means of evaluating postoperative LRYGBP anatomy and influenced postoperative care.</description><subject>Adult</subject><subject>Contrast Media</subject><subject>Diatrizoate Meglumine</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Female</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Period</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Surgical outcomes</subject><subject>Tomography, X-Ray Computed</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1LAzEQhoMotlZ_gBcJHrxF87FJNsdStBYKguhBEEI2m5Qt282adNH-e1NaEDzNy_DMMPMAcE3wPcFYPiRChOIoR6Qwl0iegDGRuES4oOUpGGMlMCoVZSNwkdIaY0oEpedgRCQvRMnkGHxOqy7EjWmhb7q66VYJhg7GMGybzsGh712E8wVMLjYuQR_aNnxnCramNzEkG_rGwtcw_CDXoQ-4Mmkbc6fa9SalS3DmTZvc1bFOwPvT49vsGS1f5ovZdIkso2KLTFW70plCcumdolhVJTGUClFXBbfMK2VLz4xhoqRKVoxz55iQnlNrLKk9m4C7w94-hq_Bpa3eNMm6tjWdC0PSMstRhLEM3v4D12GIXb5NU8ooVYwXGSIHyOYHU3Re97HZmLjTBOu9d33wrvdx713LPHNzXDxUG1f_TRxFs1_sfH6n</recordid><startdate>200703</startdate><enddate>200703</enddate><creator>Raman, Raghav</creator><creator>Raman, Bhargav</creator><creator>Raman, Pavithra</creator><creator>Rossiter, Stanford</creator><creator>Curet, Myriam J</creator><creator>Mindelzun, Robert</creator><creator>Morton, John M</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200703</creationdate><title>Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass</title><author>Raman, Raghav ; 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The authors describe the findings and impact of UGIS after LRYGBP.
From July 2003 to January 2006, 487 patients undergoing primary LRYGBP at a single academic institution had a single-contrast Gastrografin UGIS performed on the first postoperative day, without complication. Patient and operative demographics were: mean age 43 years, mean BMI 47 kg/m2, female 84%, and laparoscopic 100%.
Of the 487 patients, the UGIS revealed 14 (2.9%) major and 88 (15.2%) minor abnormalities. Among the major UGIS abnormalities, 6 (1.2%) demonstrated a gastrojejunal anastomotic (GJA) leak, 8 (1.4%) confirmed complete obstruction at the GJA, and 1 (0.2%) disclosed a communication with the bypassed stomach. For the minor UGIS abnormalities, 45 (9.2%) displayed significant delay in contrast passage through the GJA, 23 (5.0%) had evidence of dilated loops of small and/or large bowel, and 6 (1.2%) verified miscellaneous abnormal findings (malrotation, lower esophageal dysmotility, jejunal clots). Patients with UGIS abnormalities necessitated additional procedures, delayed oral intake and/or longer length of stay (LOS).
UGIS on postoperative day 1 is a useful means of evaluating postoperative LRYGBP anatomy and influenced postoperative care.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>17546837</pmid><doi>10.1007/s11695-007-9057-7</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Contrast Media Diatrizoate Meglumine Endoscopy, Gastrointestinal Female Gastric Bypass - adverse effects Gastrointestinal surgery Humans Laparoscopy Length of Stay Male Middle Aged Obesity Postoperative Complications - diagnosis Postoperative Period Radiology Retrospective Studies Surgical outcomes Tomography, X-Ray Computed |
| title | Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass |
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