The patient, a 45-year-old woman, initially underwent Roux-en-Y gastric bypass for morbid obesity. Three years later, it was complicated by a gastrojejunostomy
ulcer with perforation requiring local repair. Additional complications with ischemic
bowel and subsequent surgical revisions resulted in complete gastric outlet obstruction.
A venting gastrostomy tube was placed in the gastric pouch, and a feeding gastrostomy
tube was surgically placed in the gastric remnant. After some time, the patient strongly
expressed her desire to eat orally. Because of the previous surgical complications
and scar tissue, the surgical team requested an endoscopic attempt to reconnect the
gastric pouch and excluded gastric remnant.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Surgery for Obesity and Related DiseasesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass.Surg Endosc. 2003; 17: 416-420
- Retrograde approach to pharyngoesophageal obstruction.Gastrointest Endosc. 1998; 48: 296-299
- Combined endoscopic approach for the management of a difficult recto-sigmoid anastomotic stricture.Int Surg. 2004; 89: 76-79
- Endoscopic management of radiation-induced complete upper esophageal obstruction with an antegrade–retrograde rendezvous technique.Gastrointest Endosc. 2006; 64: 822-828
- Successful recovery of esophageal patency in 2 patients with complete obstruction by using combined antegrade retrograde dilation procedure, needle knife, and EUS.Gastrointest Endosc. 2006; 64: 789-792
- Successful recanalization of a completely obliterated esophageal stricture by using an endoscopic rendezvous maneuver.Gastrointest Endosc. 2005; 61: 473-475
- Treatment of a completely obstructed colonic anastomotic stricture by using a prototype forward-array echoendoscope and facilitated by SpyGlass (with videos).Gastrointest Endosc. 2008; 68: 988-992
- Successful management of a benign anastomotic colonic stricture with self-expanding metallic stents: a case report.World J Gastroenterol. 2004; 10: 3534-3536
- Management of narrower anastomotic colonic strictures: case report and proposal technique.Surg Endosc. 2001; 15: 1227
- Endoscopic creation of a gastrogastric conduit for reversal of gastric bypass.Gastrointest Endosc. 2011; 74: 932-933
Article info
Publication history
Published online: April 12, 2012
Accepted:
March 28,
2012
Received:
March 26,
2012
Identification
Copyright
© 2012 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
