We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Utility of EndoFLIP for Measuring Gastrojejunal Anastomosis Diameter and Distensibility in Patients Experiencing Weight Regain Post Roux-en-Y Gastric Bypass.
- Authors
Haq, Zadid; Itani, Mohamad I.; Zhang, Linda; Dinary, Fazel; Farha, Jad; Abbarh, Shahem; Akshintala, Venkata; Koller, Kristen; Jovani, Manol; Hedjoudje, Abdellah; Ngamruengphong, Saowanee; Oberbach, Andreas; Badurdeen, Dilhana; Kumbhari, Vivek
- Abstract
A dilated gastrojejunal anastomosis (GJA) diameter is an independent predictor of weight regain following Roux-en-Y gastric bypass (RYGB). Despite this, there is no standardized method for GJA diameter measurement. We performed a retrospective analysis to compare endoscopic visual estimation and endoluminal functional impedance planimetry (EndoFLIP) for measuring GJA diameter in patients with weight regain post-RYGB. Visual estimation was found to overestimate GJA diameter by a mean of 4.2mm ± 4.6mm when compared with EndoFLIP. Furthermore, we identified symptomatic patients with normal GJA diameter but increased distensibility, which may represent a previously unrecognized subgroup. Our findings suggest the potential utility of EndoFLIP in the evaluation of post-RYGB weight regain and support the need for prospective studies to investigate the relationship between GJA distensibility and weight regain
- Subjects
GASTRIC bypass; PATIENTS' attitudes; SURGICAL anastomosis; DIAMETER; LONGITUDINAL method
- Publication
Obesity Surgery, 2021, Vol 31, Issue 7, p3353
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05302-3