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- Title
Endoscopic Dilation of Bariatric RNY Anastomotic Strictures: a Systematic Review and Meta-analysis.
- Authors
Baumann, Alexandra J.; Estores, David S.; Mramba, Lazarus Katana; Hawkins, Russell B.; Carpenter, Anne-Marie; Fleisher, Max S.; Ayzengart, Alexander L.
- Abstract
Gastrojejunostomy anastomotic strictures are a complication of Roux-en-Y gastric bypass surgery without an established treatment guideline. A systematic review and meta-analysis were performed to determine the safety and efficacy of endoscopic dilation in their management. PubMed, Web of Science, and Cochrane Central (1994-2017) were searched. Data was analyzed with random effects meta-analysis and mixed effects meta-regression. Twenty-one observational studies (896 patients) were included. The stricture rate for laparoscopic patients was 6% (95% CI, 5-9%). Only 38% (95% CI, 30-47%) required greater than one dilation. Symptom improvement occurred in 97% (95% CI, 94-98%). The complication rate was 4% (95% CI, 3-6%). Endoscopic dilation of GJA strictures is safe, effective, and sustaining. This study can guide endoscopists in the treatment of a common bariatric surgical complication.
- Subjects
GASTRIC bypass; SURGICAL anastomosis; ENDOSCOPIC surgery; ADVERSE health care events; SYSTEMATIC reviews
- Publication
Obesity Surgery, 2018, Vol 28, Issue 12, p4053
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-018-3491-6