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- Title
Management of Acute Gastric Remnant Complications After Roux-en-Y Gastric Bypass: a Single-Center Case Series.
- Authors
Iranmanesh, Pouya; Manisundaran, Naveen V.; Bajwa, Kulvinder S.; Thosani, Nirav C.; Felinski, Melissa M.; Wilson, Erik B.; Shah, Shinil K.
- Abstract
Purpose: Roux-en-Y gastric bypass is a common bariatric procedure. Its configuration creates an excluded gastric remnant, which is subject to potential acute complications such as bleeding, perforation, and necrosis. Material and Methods: A retrospective analysis of a prospective database including all patients presenting between 2007 and 2019 to our institution with acute gastric remnant complications after RYGB was performed. Results: Seven patients were included, including 3 hemorrhages, two of which were treated with double-balloon enteroscopy, as well as 3 perforations and 1 necrosis, all of which required emergent surgery. Overall gastric remnant complication rate was 0.3% in this series. Conclusion: Acute gastric remnant complications after RYGB are infrequent, but their diagnosis and management can be challenging. Double-balloon enteroscopy has diagnostic and therapeutic value for selected patients. Emergent surgery remains the standard of care for unstable patients and should not be delayed.
- Subjects
GASTRIC bypass; ENTEROSCOPY; BARIATRIC surgery; NECROSIS; RETROSPECTIVE studies
- Publication
Obesity Surgery, 2020, Vol 30, Issue 7, p2637
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04537-w