Surgery for Obesity and Related Diseases
Volume 4, Issue 1 , Pages 16-25 , January 2008

Italian multicenter experience of Roux-en-Y gastric bypass on vertical banded gastroplasty: four-year results of effective and safe innovative procedure enabling traditional endoscopic and radiographic study of bypassed stomach and biliary tract

  • Stefano Cariani, M.D.

      Affiliations

    • Department of General Surgery and Obesity Surgery, University of Bologna, Bologna, Italy
  • ,
  • Patrizio Palandri, M.D.

      Affiliations

    • Department of General Surgery, Hospital of Pistoia, Pistoia, Italy
  • ,
  • Edoardo Della Valle, M.D.

      Affiliations

    • Department of General Surgery, Hospital of Reggio Emilia, Reggio Emilia, Italy
  • ,
  • Alberto Della Valle, M.D.

      Affiliations

    • Department of General Surgery, Hospital of Pavia, Pavia, Italy
  • ,
  • Leonardo Di Cosmo, M.D.

      Affiliations

    • Department of General Surgery, University of Siena, Siena, Italy
  • ,
  • Carlo Vassallo, M.D.

      Affiliations

    • Department of Surgery, Private Hospital Morelli Pavia, Pavia, Italy
  • ,
  • Antonio Caminiti, M.D.

      Affiliations

    • Department of General Surgery, Hospital of Montebelluna, Montebelluna, Italy
  • ,
  • Enrico Amenta, M.D.

      Affiliations

    • Department of General Surgery and Obesity Surgery, University of Bologna, Bologna, Italy

Received 10 May 2007 ,Revised 10 August 2007 ,Accepted 24 September 2007.

References 

  1. Steinbrook R. Surgery for severe obesity. N Engl J Med. 2004;350:1075–1079
  2. Toppino M Registry Contributors. Update 2006 from the SICOB Italian Registry for Bariatric Surgery. [abstract] Obes Surg. 2007;17:117
  3. MacGregor AM, Pikens NE, Thoburn EK. Perforated peptic ulcer following gastric bypass for obesity. Am Surg. 1999;65:222–225
  4. Papasavas PK, Yeaney WW, Caushaj PF, et al. Perforation in the bypassed stomach following laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13:797–799
  5. Mehran A, Szomstein S, Zundel N, et al. Management of acute bleeding after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13:842–847
  6. Nguyen NT, Rivers R, Wolfe BM. Early gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg. 2003;13:62–65
  7. Spires WV, Morris DM. Bleeding duodenal ulcer after gastric bypass procedure for obesity. South Med J. 1987;80:1325–1326
  8. Printen KJ, LeFavre J, Alden J. Bleeding from the bypassed stomach following gastric bypass. Surg Gynecol Obstet. 1983;156:65–66
  9. Braley SC, Nguyen NT, Wolfe BM. Late gastrointestinal hemorrhage after gastric bypass. Obes Surg. 2002;12:404–407
  10. Lord RV, Edwards PD, Coleman MJ. Gastric cancer in the bypassed segment after operation for morbid obesity. Aust NZ J Surg. 1997;67:580–582
  11. Khitin L, Roses RE, Birkett DH. Cancer in the gastric remnant after gastric bypass: a case report. Curr Surg. 2003;60:521–523
  12. Raijman I, Strother SV, Donegan WL. Gastric cancer after gastric bypass for obesity: case report. J Clin Gastroenterol. 1991;13:191–194
  13. Corsini DA, Simoneti CA, Moreira G, et al. Cancer in the excluded stomach 4 years after gastric bypass. Obes Surg. 2006;16:932–934
  14. DeRoover A, Detry O, De Leval L, et al. Report of two cases of gastric cancer after bariatric surgery: lymphoma of the bypassed stomach after Roux-en-Y gastric bypass and gastrointestinal stromal tumor (GIST) after vertical banded gastroplasty. Obes Surg. 2006;16:928–931
  15. Escalona A, Guzman S, Ibanez L, et al. Gastric cancer after Roux-en-Y gastric bypass. Obes Surg. 2005;15:423–427
  16. Nguyen NT, Hinojosa MW, Slone J, et al. Laparoscopic transgastric access to the biliary tree after Roux-en-Y gastric bypass. Obes Surg. 2007;17:416–419
  17. Mason EE, Renquist KE, Huang YH, et al. Causes of 30-day bariatric surgery mortality: with emphasis on bypass obstruction. Obes Surg. 2007;17:9–14
  18. Ross AS, Semrad C, Alverdy J, et al. Use of double-balloon enteroscopy to perform PEG in the excluded stomach after Roux-en-Y gastric bypass. Gastrointest Endosc. 2006;64:797–800
  19. May A, Nachbar L, Ell C. Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease. Gastrointest Endosc. 2005;62:62–70
  20. Wright BE, Cass OW, Freeman ML. ERCP in patients with long-limb Roux-en-Y gastrojejunostomy and intact papilla. Gastrointest Endosc. 2002;56:225–232
  21. Fobi M, Chicola K, Lee H. Access to the bypassed stomach after gastric bypass. Obes Surg. 1998;8:289–295
  22. Ceppa FA, Gagnè DJ, Papasavas PK, et al. Laparoscopic transgastric endoscopy after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2007;3:21–24
  23. Cariani S, Vittimberga G, Grani S, et al. Prospective study on functional Roux-en-Y gastric bypass to avoid gastric exclusion. [abstract] Obes Surg. 2002;12:469
  24. Cariani S, Vittimberga G, Grani S, et al. A functional Roux-en-Y gastric bypass to avoid gastric exclusion: 1-year results. Obes Surg. 2003;13:788–791
  25. Cariani S, Lucchi A, Guerra M, et al. Evolution of functional Roux-en-Y gastric bypass: from adjustable band to Gore-Tex™band. [abstract] Obes Surg. 2004;14:471
  26. Cariani S, Lucchi A, Guerra M, et al. Two-year results of Roux-en-Y gastric bypass on vertical banded gastroplasty: an effective and safe bariatric operation [abstract]. Obes Surg. 2005;15:974
  27. O’Brien PE, McPhail T, Chaston TB, et al. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006;16:1032–1040
  28. Thomas JE. Mechanics and regulation of gastric emptying. Physiol Rew. 1957;37:453–474
  29. Gustavsson S, Sundbom M. Excellent weight result after Roux-en-Y gastric bypass in spite of gastro-gastric fistula. Obes Surg. 2003;13:457–459
  30. Stanczyk M, Deveney C, Traxler SA, et al. Gastro-gastric fistula in the era of divided Roux-en-Y gastric bypass: strategies for prevention, diagnosis, and management. Obes Surg. 2006;16:359–364
  31. D’Hondt M, Vansteenkiste F, Van Rooy F, et al. Gastrogastric fistula after gastric bypass—is surgery always needed?. Obes Surg. 2006;16:1548–1551
  32. De Roover A, Detry O, Desaive C, et al. Risk of upper gastrointestinal cancer after bariatric operations. Obes Surg. 2006;16:1656–1661
  33. Cariani S, Palandri P, Faccani E, et al. Roux-en-Y gastric bypass on vertical banded gastroplasty as a secondary operation: two Italian hospitals’ surgical approach to restrictive procedure failures. Obes Surg. 2005;15:974–975

 Reprints not available from the authors.

PII: S1550-7289(07)00678-8

doi: 10.1016/j.soard.2007.09.013

Surgery for Obesity and Related Diseases
Volume 4, Issue 1 , Pages 16-25 , January 2008