Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients.


BACKGROUND:Anastomotic strictures after bariatric surgery are a frequent complication that requires endoscopic management, but the optimal technique for dilation remains to be determined. The aim of this study was to evaluate the safety and efficacy of dilation with Savary-Gilliard bougies (SGB) in morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (RYGBP). PATIENTS AND METHODS:Retrospective review of prospectively collected data from a series of 474 consecutive patients with laparoscopic bariatric surgery. Four-hundred twenty four of these patients (90%) underwent a laparoscopic RYGBP. A total of 24 patients were referred for anastomotic stricture dilation with SGB from January 1998 to December 2006. RESULTS:A total of 24/424 patients (6%) developed a stricture that was successfully dilated with SGB. Patients were 17 females (71%) and seven males (29%) with a mean age of 41 +/- 11 years (range 24-63) and a mean BMI of 48 +/- 6 (range 40-69). The time between RYGBP and the appearance of stricture-related symptoms ranged from 29 to 154 days (mean, 69 days). The mean number of dilations was 1.6 +/- 0.6. The majority of patients required one (n = 11; 46%) or two (n = 12; 50%) dilations and only one patient required three dilations. During the initial dilation, a final diameter of 11 +/- 1.7 mm (range 7-12.8 mm) was achieved. In all cases, there was complete resolution of symptoms. There were no complications. CONCLUSIONS:Dilation with SGB is an effective, safe, and durable method for managing anastomotic strictures after laparoscopic RYGBP.


Obes Surg


Obesity surgery


Fernández-Esparrach G,Bordas JM,Llach J,Lacy A,Delgado S,Vidal J,Cárdenas A,Pellisé M,Ginès A,Sendino O,Zabalza M,Castells A




Has Abstract


2008-02-01 00:00:00












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    journal_title:Obesity surgery

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    authors: Zhang H,Liu W,Han X,Yu H,Zhang P,Jia W

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    journal_title:Obesity surgery

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    authors: Aasheim ET,Hofsø D,Hjelmesaeth J,Sandbu R

    更新日期:2008-12-01 00:00:00

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    journal_title:Obesity surgery

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    journal_title:Obesity surgery

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    authors: De Panfilis C,Cero S,Torre M,Salvatore P,Dall'Aglio E,Adorni A,Maggini C

    更新日期:2006-07-01 00:00:00

  • Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing two different techniques. Preliminary results.

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    pub_type: 杂志文章,随机对照试验


    authors: Albanopoulos K,Alevizos L,Flessas J,Menenakos E,Stamou KM,Papailiou J,Natoudi M,Zografos G,Leandros E

    更新日期:2012-01-01 00:00:00

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    abstract:BACKGROUND:Severe obesity has deleterious effects on fertility and pregnancy outcomes. Although surgery is the best long-term treatment for severe obesity, there is a risk of gestational undernutrition in operated mothers because bariatric surgery reduces nutrient availability. This is a follow-up report of our initial...

    journal_title:Obesity surgery

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    更新日期:2004-03-01 00:00:00

  • Laparoscopic adjustable gastric banding versus open vertical banded gastroplasty: a prospective randomized trial.

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    pub_type: 杂志文章,随机对照试验


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    更新日期:2005-10-01 00:00:00

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    authors: Malbois M,Giusti V,Suter M,Pellaton C,Vodoz JF,Heinzer R

    更新日期:2010-03-01 00:00:00

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    authors: Daetwiler S,Adamina M,Schöb O

    更新日期:2005-10-01 00:00:00

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    authors: Nijhof HW,Steenvoorde P,Tollenaar RA

    更新日期:2006-05-01 00:00:00

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  • Cardiorespiratory fitness and health-related quality of life in bariatric surgery patients.

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  • Preoperative Beta Cell Function Is Predictive of Diabetes Remission After Bariatric Surgery.

    abstract:BACKGROUND:Bariatric surgery can improve glucose metabolism in obese patients with diabetes, but the factors that can predict diabetes remission are still under discussion. The present study aims to examine the impact of preoperative beta cell function on diabetes remission following surgery. MATERIALS AND METHODS:We ...

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    pub_type: 杂志文章


    authors: Souteiro P,Belo S,Neves JS,Magalhães D,Silva RB,Oliveira SC,Costa MM,Saavedra A,Oliveira J,Cunha F,Lau E,Esteves C,Freitas P,Varela A,Queirós J,Carvalho D

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  • Vertical Banded Gastroplasty-Gastric Bypass: preliminary report.

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    authors: Capella RF,Capella JF,Mandec H,Nath P

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    pub_type: 临床试验,杂志文章,随机对照试验


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    pub_type: 临床试验,杂志文章


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  • Preoperative Interventions for Patients Being Considered for Bariatric Surgery: Separating the Fact from Fiction.

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    pub_type: 杂志文章,评审


    authors: Mahawar KK,Parmar C,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PK

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    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Furbetta F,Gambinotti G

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    pub_type: 杂志文章


    authors: DePaula AL,Stival AR,Halpern A,Vencio S

    更新日期:2011-05-01 00:00:00

  • Incidence of regurgitation after the banded gastric bypass.

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    pub_type: 杂志文章,随机对照试验


    authors: Arasaki CH,Del Grande JC,Yanagita ET,Alves AK,Oliveira DR

    更新日期:2005-11-01 00:00:00

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    abstract:BACKGROUND:A substantial proportion of severely obese patients undergoing bariatric surgery have not developed disease as a consequence of obesity. Little is known about the effects of bariatric surgery on health-related quality of life (HRQL) in this patient group. In a prospective study at a public hospital, we compa...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Risstad H,Søvik TT,Hewitt S,Kristinsson JA,Fagerland MW,Bernklev T,Mala T

    更新日期:2015-12-01 00:00:00

  • Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Patients undergoing either Roux-en-Y gastric bypass (RYGBP) or biliopancreatic diversion (BPD) with RYGBP are at risk of developing metabolic sequelae secondary to malabsorption. We compared the differences in nutritional complications between these two bariatric operations. METHODS:A retrospective analysis...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Skroubis G,Sakellaropoulos G,Pouggouras K,Mead N,Nikiforidis G,Kalfarentzos F

    更新日期:2002-08-01 00:00:00

  • Treatment of morbid obesity and gastroesophageal reflux with hiatal hernia by Lap-Band.

    abstract:BACKGROUND:Esophageal reflux is common in obese patients. Hiatal hernia is considered a potential contraindication to placement of a Lap-Band. METHODS:Esophageal investigation in patients who were candidates for a Lap-Band included clinical evaluation of symptoms (scoring system), endoscopic and radiologic evaluation,...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Angrisani L,Iovino P,Lorenzo M,Santoro T,Sabbatini F,Claar E,Nicodemi O,Persico G,Tesauro B

    更新日期:1999-08-01 00:00:00

  • Green urine after intragastric balloon placement for the treatment of morbid obesity.

    abstract:BACKGROUND:The intragastric balloon is filled with saline and methylene blue dye, to detect balloon deflation early and prevent bowel obstruction, by monitoring the patient's urine for changes in color. METHODS:An intragastric balloon filled with 590 ml of saline plus 10 ml of methylene blue was endoscopically placed ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Bernante P,Francini F,Zangrandi F,Menegon P,Toniato A,Feltracco P,Pelizzo MR

    更新日期:2003-12-01 00:00:00