Surgery for Obesity and Related Diseases
Volume 3, Issue 6 , Pages 619-622 , November 2007

Endoscopic suture removal at gastrojejunal anastomosis after Roux-en-Y gastric bypass to prevent marginal ulceration

  • Eldo E. Frezza, M.D., M.B.A., F.A.C.S.

      Affiliations

    • Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas
    • Corresponding Author InformationReprint requests: Eldo E. Frezza, M.D., M.B.A., F.A.C.S., Division of General Surgery, Department of Surgery, Texas Tech University Health Sciences Center, 3502 9th Street, Suite 380, Lubbock, TX 79415.
    • ,
  • Haleigh Herbert, B.S.

      Affiliations

    • Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas
    • ,
  • Ronny Ford, M.D.

      Affiliations

    • Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas
    • ,
  • Mitchell S. Wachtel, M.D.

      Affiliations

    • Department of Pathology, Texas Tech University Health Sciences Center, Lubbock, Texas

Received 4 May 2007 ,Revised 22 June 2007 ,Accepted 24 August 2007.

References 

  1. Gonzalez R, Sarr MG, Smith CD, et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg. 2007;204:47–55
  2. Frezza EE, Wachtel MS. Laparoscopic re-exploration in mechanical bowel obstruction after laparoscopic gastric bypass for morbid obesity. Miner Chir. 2006;61:193–197
  3. Sapala JA, Wood MH, Sapala MA, Flake TM. Marginal ulcer after gastric bypass: a prospective 3-year study of 173 patients. Obes Surg. 1998;8:505–516
  4. Marano BJ. Endoscopy after Roux-en-Y gastric bypass: a community hospital experience. Obes Surg. 2005;15:342–345
  5. Sacks BC, Mattar SG, Qureshi FG, et al. Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2:11–16
  6. Dallal RM, Bailey LA. Ulcer disease after gastric bypass surgery. Surg Obes Relat Dis. 2006;2:455–459
  7. Szomstein S, Kaidar-Person O, Naberezny K, Cruz-Correa M, Rosenthal R. Correlation of radiographic and endoscopic evaluation of gastrojejunal anastomosis after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2:617–621
  8. Wilson JA, Romagnuolo J, Byrne TK, Morgan K, Wilson FA. Predictors of endoscopic findings after Roux-en-Y gastric bypass. Am J Gastroenterol. 2006;101:2194–2199
  9. St. Jean MR, Dunkle-Blatter SE, Petrick AT. Laparoscopic management of perforated marginal ulcer after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2:668
  10. Gumbs AA. Incidence and management of marginal ulceration after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2:460–463
  11. MacLean LD. Stomal ulcer after gastric bypass. J Am Coll Surg. 1997;185:1–7
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  13. Frezza EE, Wachtel MS. A simple venous thromboembolism prophylaxis protocol for patients undergoing bariatric surgery. Obesity. 2006;14:1961–1965
  14. Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–529
  15. Kurata JH, Nogawa AN. Meta-analysis of risk factors for peptic ulcer: nonsteroidal anti-inflammatory drugs (Helicobacter pylori, and smoking). J Clin Gastroenterol. 1997;24:2–17
  16. Cryer B. Mucosal defense and repair: role of prostaglandins is the stomach and duodenum. Surg Clin North Am. 2001;30:877–894
  17. Capella JF, Capella RF. Gastro-gastric fistulas and marginal ulcers in gastric bypass procedures for weight reduction. Obes Surg. 1999;9:22–27
  18. Moller AM, Villebro N, Pedersen T, Tonnesen H. Effect of preoperative smoking intervention on postoperative complications. Lancet. 2002;359:114–117
  19. Braley SC, Nguyen NT, Wolfe BM. Early gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg. 2003;13:62–65
  20. Carrodeguas L, Szomstein S, Soto F, et al. Management of gastrogastric fistulas after divided Roux-en-Y gastric bypass surgery for morbid obesity: analysis of 1,292 consecutive patients and review of literature. Surg Obes Relat Dis. 2005;1:467–474
  21. Huang CS, Forse RA, Jacobson BC, Farraye FA. Endoscopic findings and their clinical correlations in patients with symptoms after gastric bypass surgery. Gastrointest Endosc. 2003;58:859–866

PII: S1550-7289(07)00623-5

doi: 10.1016/j.soard.2007.08.019

Surgery for Obesity and Related Diseases
Volume 3, Issue 6 , Pages 619-622 , November 2007

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