Complications at gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass: comparison between 21- and 25-mm circular staplers

Surgery for Obesity and Related Diseases

Volumn 3, Issue 5, 2007, Pages 508-514

  Suggs, W Jay ^a   Kouli, Wael ^a   Lupovici, Michael ^a   Chau, Wai Yip ^a   Brolin, Robert E ^a  

^a University Medical Center at Princeton   (United States)

Author keywords

Bleeding; Gastric bypass; Gastrointestinal complications; Gastrointestinal surgery; Obesity; Ulcer

Indexed keywords

ADRENALIN; ANTIBIOTIC AGENT; ANTIULCER AGENT; CYCLOOXYGENASE 2 INHIBITOR; FIBRIN GLUE; NONSTEROID ANTIINFLAMMATORY AGENT; PROTON PUMP INHIBITOR;

ANASTOMOSIS LEAKAGE; ARTICLE; BALLOON DILATATION; BLOOD TRANSFUSION; CONTROLLED STUDY; FISHER EXACT TEST; GASTROJEJUNOSTOMY; GRAFT OCCLUSION; HELICOBACTER INFECTION; HOSPITAL READMISSION; HUMAN; INCIDENCE; JEJUNUM ULCER; LAPAROSCOPIC SURGERY; LAPAROTOMY; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; OBESITY; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; REOPERATION; RETROSPECTIVE STUDY; ROUX Y ANASTOMOSIS; STAPLER; STATISTICAL SIGNIFICANCE; STOMACH BYPASS; STOMACH HEMORRHAGE; THERMOCOAGULATION; TREATMENT FAILURE; WEIGHT REDUCTION;

ANASTOMOSIS, ROUX-EN-Y; BALLOON DILATATION; CONSTRICTION, PATHOLOGIC; EQUIPMENT DESIGN; FEMALE; FOLLOW-UP STUDIES; GASTRIC BYPASS; GASTROENTEROSTOMY; GASTROINTESTINAL DISEASES; GASTROINTESTINAL HEMORRHAGE; HUMANS; INCIDENCE; JEJUNOSTOMY; MIDDLE AGED; OBESITY, MORBID; PATIENT READMISSION; REOPERATION; RETROSPECTIVE STUDIES; SURGICAL STAPLERS; ULCER;

EID: 34548847757     PISSN: 15507289     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.soard.2007.05.003     Document Type: Article

References (28)

1. Nguyen N.T., Stevens C.M., and Wolfe B.M. Incidence and outcome of anastomotic stricture after laparoscopic gastric bypass. J Gastrointest Surg 7 (2003) 997-1003
2. Sekhar N.R., Lufti R.E., Torquti A., et al. Laparoscopic Roux-en-Y gastric bypass: comparison of two techniques of gastrointestinal anastomoses. (abstract). Surg Obes Relat Dis 1 (2005) 235
3. Lujan J.A., Frutos M.D., Hernandez Q., et al. Experience with the circular stapler for the gastrojejunostomy in laparoscopic gastric bypass (350 cases). Obes Surg 15 (2005) 1096-1102
4. Wittgrove A.C., and Clark G.W. Laparoscopic gastric bypass, Roux-en-Y, 500 patients: technique and results with 3-60 month follow up. Obes Surg 10 (2000) 233-239
5. DeMaria E.J., Sugerman H.J., Kellum J.M., et al. Results of 281 consecutive total laparoscopic Roux-en-Y gastric bypasses to treat morbid obesity. Ann Surg 235 (2002) 640-647
6. Carrodeguas L., Szomstein S., Zundel N., et al. Gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass surgery: analysis of 1291 patients. Surg Obes Relat Dis 2 (2006) 92-97
7. Schwartz M.D., Drew R.D., Rolger R.W., et al. Stenosis of the gastrojejunostomy after laparoscopic gastric bypass. Obes Surg 14 (2004) 484-491
8. Higa K.D., Boone K.B., and Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1040 patients-what have we learned?. Obes Surg 10 (2000) 509-513
9. Abdel-Galil E., and Sabry A.A. Laparoscopic Roux-en-Y gastric bypass-evaluation of three different techniques. Obes Surg 12 (2002) 639-642
10. Gonzalez R., Lin E., Venkatesh K.R., et al. Gastrojejunostomy during laparoscopic gastric bypass. Arch Surg 138 (2003) 181-184
11. Podnos Y.D., Jimenez J.C., Wilson S.F., et al. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg 138 (2003) 957-961
12. Sanyal A.J., Sugerman H.J., Kellum J.M., et al. Stomal complications of gastric bypass: incidence and outcome of therapy. Am J Gastroenterol 9 (1992) 1165-1169
13. Sapala J.A., Wood M.H., Sapala M.A., et al. Marginal ulcer after gastric bypass: a prospective 3-year study of 173 patients. Obes Surg 8 (1998) 505-516
14. Brolin R.E. Complications of surgery for severe obesity. Prob Gen Surg 17 (2000) 55-61
15. Suh D.Y., Cordero R., Gorski T., et al. Long term results of prospective randomized comparison of antecolic vs retrocolic Roux limb for Roux-en-Y gastric bypass. (abstract). Surg Obes Relat Dis 1 (2005) 235
16. Nguyen N.T., Goldman C., Rosenquist J., et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg 234 (2001) 279-291
17. Fisher B.L., Cottam D., Grace B., et al. A randomized double blind study of the effect of 21-mm versus 25-mm circular stapled gastroenterostomy on postoperative stenosis in laparoscopic Roux-en-Y gastric bypass. (abstract). Surg Obes Relat Dis 2 (2006) 298
18. Behrns K.E., Smith C.D., and Sarr M.G. Prospective evaluation of gastric acid secretion and cobalamin absorption following gastric bypass for morbid obesity. Dig Dis Sci 39 (1994) 315-320
19. Siilin H., Wanders A., Gustavsson S., et al. The proximal gastric pouch invariably contains acid-producing parietal cells in Roux-en-Y gastric bypass. Obes Surg 15 (2005) 771-777
20. Hedberg J., Hedenstrom H., Nilsson S., et al. Role of gastric acid in stomal ulcer after gastric bypass. Obes Surg 15 (2005) 1375-1378
21. Capella J.F., and Capella R.F. Gastrogastric fistulas and marginal ulcers in gastric bypass procedures for weight reduction. Obes Surg 9 (1999) 22-27
22. Sacks B.C., Mattar S.G., Qureshi F.G., et al. Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2 (2006) 11-16
23. 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 1292 consecutive patients and review of the literature. Surg Obes Relat Dis 1 (2005) 467-474
24. Mehran A., Szomstein S., Zundel N., et al. Management of acute bleeding after laparoscopic Roux-en-Y gastric bypass. Obes Surg 13 (2003) 842-847
25. Schauer P.R., Ikramuddin S., Gourash W., et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 232 (2000) 515-529
26. Shikora S.A., Kim J.J., Tarnoff M.E., et al. Laparoscopic Roux-en-Y gastric bypass: results and learning curve of a high-volume academic program. Arch Surg 140 (2005) 362-367
27. Kligman M.D., Thomas C., Saxe J., et al. Effects of the learning curve on the early outcomes of laparoscopic Roux-en-Y gastric bypass. Am Surg 69 (2003) 304-309
28. Mongnol P., Choisdow D., Marmuse J.P., et al. Laparoscopic conversion of laparoscopic gastric banding to Roux-en-Y gastric bypass: a review of 70 patients. Obes Surg 14 (2004) 1349-1353