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- Title
Comparison of Marginal Ulcer Rates Between Antecolic and Retrocolic Laparoscopic Roux-en-Y Gastric Bypass.
- Authors
Ribeiro-Parenti, Lara; Arapis, Konstantinos; Chosidow, Denis; Marmuse, Jean-Pierre
- Abstract
Introduction: Marginal ulcer can be a serious complication after laparoscopic gastric bypass surgery. The aim of this study was to compare the rates of marginal ulcer between the antecolic and the retrocolic technique, in a large cohort of patients. Patients and Methods: Over a near 10-year period, 1,142 patients underwent laparoscopic gastric bypass surgery. The antecolic and the retrocolic technique were used in respectively 572 and 570 consecutive patients. All procedures were performed using a circular stapled gastrojejunostomy. Results: Patients were followed for 18 to 99 months (mean 48.8 months). During follow-up, 46 patients developed a marginal ulcer (4 %), 32 in the antecolic group (5.6 %) and 14 in the retrocolic group (2.5 %). Nineteen patients (3.3 %) in the antecolic group and eight patients in the retrocolic group (1.4 %) developed early marginal ulcer (i.e., within 3 months after surgery). The mean time to onset of anastomotic ulcer symptoms after surgery was 11 months (range 0.25-72). Forty-four patients were submitted to medical treatment, and 35 patients (79.5 %) had complete resolution of their symptoms. Conclusion: Patients with an antecolic Roux limb develop significantly more marginal ulcers ( p = 0.007) and early marginal ulcer ( p = 0.033) than the patients with a retrocolic Roux limb. The antecolic technique seems to be a risk factor for appearance of marginal ulcer.
- Subjects
STOMACH ulcers; GASTRIC bypass complications; BARIATRIC surgery; COMPARATIVE studies; FOLLOW-up studies (Medicine); THERAPEUTICS
- Publication
Obesity Surgery, 2015, Vol 25, Issue 2, p215
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-014-1392-x