Laparoscopic revision of gastric bypass for gastrojejunal anastomotic stenosis and trans-mesocolic defect: video report.

Abstract:

PURPOSE:Laparoscopic gastric bypass (LRYGB) is considered as the gold standard procedure for morbid obesity because of sustainable weight loss and coexisting conditions improvements (Sjostrom L et al. The New England journal of medicine 351(26):2683-93, 2004 [1]; Thereaux J et al. Surg Obesity Related Dis: Off J Am Soc Bariatric Surg, 2014 [2]). However, there are some concerns with the late risk of gastrojejunal anastomotic stenosis and of small bowel obstruction (Hamdan K et al. 98(10):1345-55, 2011 [3]). MATERIALS AND METHODS:We present the case of a 46-year-old woman (70 kg, 1.67 m) with a body mass index (BMI) of 25.1 kg/m(2) who had undergone LRYGB, 3 years ago (initial BMI 45 kg/m(2)). She was referred to our tertiary care center for dysphagia and abdominal pain. RESULTS:In this multimedia video, we present a step-by-step laparoscopic revision of a LRYGB for gastrojejunal anastomotic stenosis associated with trans-mesocolic defect. Procedure included dissection and resection of the strictured anastomosis, redo gastrojejunal circular anastomosis, and closure of the trans-mesocolic defect. No adverse outcomes occurred during the postoperative period. CONCLUSION:Gastrojejunal anastomosis stenosis should be managed under laparoscopy. All abdominal surgery in patients with a history of LRYGB, especially with trans-mesocolic alimentary limb, should include inspection of potential meso-defect.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Thereaux J,Roche C,Bail JP

doi

10.1007/s11695-015-1616-8

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

948

issue

5

eissn

0960-8923

issn

1708-0428

journal_volume

25

pub_type

杂志文章
  • Comparing the outcomes after laparoscopic versus open gastric bypass: a matched paired analysis.

    abstract:BACKGROUND:Laparoscopic gastric bypass (LGBP) is being performed widely as a treatment of choice for morbid obesity. Advantages over open gastric bypass (OGBP) have not been well documented in controlled studies. The aim of this study is to evaluate the early postoperative outcomes after LGBP and OGBP using a matched p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203765887624

    authors: Courcoulas A,Perry Y,Buenaventura P,Luketich J

    更新日期:2003-06-01 00:00:00

  • Histological findings in the liver before and after gastric bypass.

    abstract:BACKGROUND:Bariatric surgery results in massive loss of excess weight, changes in co-morbidities and improvement in quality of life. In these patients, liver histology taken before or during surgery reveals several histological abnormalities. In a prospective study of patients previously submitted to gastric bypass, we...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206776944904

    authors: Csendes A,Smok G,Burgos AM

    更新日期:2006-05-01 00:00:00

  • Gender and racial/ethnic background predict weight loss after Roux-en-Y gastric bypass independent of health and lifestyle behaviors.

    abstract::Our study investigated how demographic, health, and behavioral factors interacted to affect weight outcomes in bariatric patients. Roux-en-Y gastric bypass (RYGB) patients who were non-Hispanic black, Hispanic, or non-Hispanic white race/ethnicity, had no revisions to their RYGB during 2004-2009, and had at least 1 ye...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1268-0

    authors: Coleman KJ,Brookey J

    更新日期:2014-10-01 00:00:00

  • Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch.

    abstract:BACKGROUND:The revisional surgery for patients with inadequate weight loss after biliopancreatic diversion with duodenal switch (BPD/DS) is controversial. It has not yet been determined whether a common channel should be shortened or gastric pouch volume reduced. Since the revision of the distal anastomosis remains tec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190907

    authors: Gagner M,Rogula T

    更新日期:2003-08-01 00:00:00

  • Clinical characteristics and outcome of morbidly obese bariatric patients with concurrent hepatitis B viral infection.

    abstract:BACKGROUND:Bariatric surgery is the only effective and long-lasting treatment of morbidly obese patients. However, the safety and efficacy of bariatric surgery in patients with hepatitis B viral (HBV) infection is not clear. The aim of the present study is to investigate whether HBV infection influences clinic features...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9346-1

    authors: Lee WJ,Wang W,Lee YC,Huang MT

    更新日期:2008-05-01 00:00:00

  • Band erosion after laparoscopic gastric banding: occurrence and results after conversion to Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding is a popular bariatric operation. Unfortunately, long-term complications such as slippage, infection, and intragastric migration (erosion) may occur. With erosion, band removal is mandatory. Options to prevent weight regain are delayed implantation of a new band, or co...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089204322917918

    authors: Suter M,Giusti V,Héraief E,Calmes JM

    更新日期:2004-03-01 00:00:00

  • Intimate saboteurs.

    abstract:BACKGROUND:The bariatric patient exists in dynamic relationship with family members and friends who have considerable influence upon the patient and his or her surgical outcome. When family members and friends behave as intimate saboteurs, they attempt to hamper, hurt, or subvert the bariatric patient's goal of achievi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555449

    authors: Andrews G

    更新日期:1997-10-01 00:00:00

  • Stapler division of the omentum and small bowel mesentery in morbidly obese patients undergoing gastric bypass surgery.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood loss, and d...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555755

    authors: Sapala JA,Wood MH,Sapala MA,Mason DS

    更新日期:1997-06-01 00:00:00

  • Band erosion following gastric banding: how to treat it.

    abstract:BACKGROUND:Intragastric band migration is an unusual but major long-term complication of gastric banding: its frequency ranges from 0.5-3.8% and always requires removal of the band. Different laparoscopic, laparotomic or endoscopic methods are currently used for band removal. METHODS:571 morbidly obese patients underw...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9060-z

    authors: Lattuada E,Zappa MA,Mozzi E,Fichera G,Granelli P,De Ruberto F,Antonini I,Radaelli S,Roviaro G

    更新日期:2007-03-01 00:00:00

  • Differential Changes in Gut Microbiota After Gastric Bypass and Sleeve Gastrectomy Bariatric Surgery Vary According to Diabetes Remission.

    abstract:BACKGROUND:It is unclear whether specific gut microbiota is associated with remission of type 2 diabetes (T2D) after distinct types of bariatric surgery. AIMS:The aim of this study is to examine gut microbiota changes after laparoscopic Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) surgery in obese patien...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-016-2399-2

    authors: Murphy R,Tsai P,Jüllig M,Liu A,Plank L,Booth M

    更新日期:2017-04-01 00:00:00

  • Bone mineral density and nutritional profile in morbidly obese women.

    abstract:BACKGROUND:Morbid obesity may be associated with malnutrition. Because it is important to assess the preoperative nutritional/metabolic status and bone mineral density of these patients, this study was designed aiming to evaluate bone metabolism/mineral density and nutritional profile in morbidly obese women. METHODS:...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0121-3

    authors: Casagrande DS,Repetto G,Mottin CC,Schneider R,Rizzolli J,Moretto M,Padoin AV,Schaan BD

    更新日期:2010-10-01 00:00:00

  • Gastric Bypass Distal Roux-en-Y with Jejunal Interposition.

    abstract::Gastric bypass with jejunal interposition is a version of the distal Roux-en-Y. Ninety cm of the jejunum is interposed between the gastric stoma and the ileum. This new procedure initially was used in super-obese patients mainly to facilitate the gastric anastomosis. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559584

    authors: Torres JC

    更新日期:1993-05-01 00:00:00

  • Protein-Calorie Malnutrition Requiring Revisional Surgery after One-Anastomosis-Mini-Gastric Bypass (OAGB-MGB): Case Series from the Tehran Obesity Treatment Study (TOTS).

    abstract:INTRODUCTION:One-anastomosis-mini-gastric bypass (OAGB-MGB) is the second most popular gastric bypass procedure with remarkable weight loss results and comorbidity resolution rates. However, some concerns remain regarding its postoperative complications, including protein-calorie malnutrition (PCM). We hereby report ou...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03741-7

    authors: Khalaj A,Kalantar Motamedi MA,Mousapour P,Valizadeh M,Barzin M

    更新日期:2019-06-01 00:00:00

  • Weight Loss and Health Status 5 Years After Adjustable Gastric Banding in Adolescents.

    abstract:OBJECTIVE:This prospective cohort analysis describes changes in weight, cardiometabolic health, and weight-related quality of life (WRQOL) following adolescent LAGB. METHODS:Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) collected demographic, anthropometric, micronutrient, cardiometabolic risk, and WRQ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04504-5

    authors: Dewberry LC,Jalivand A,Gupta R,Jenkins TM,Beamish A,Inge TH,Courcoulas A,Helmrath M,Brandt ML,Harmon CM,Chen M,Dixon JB,Zeller M,Michalsky MP

    更新日期:2020-06-01 00:00:00

  • Severe Compulsive Overeating: how to obtain a more accurate history through non-shaming, non-blaming interview techniques.

    abstract::The ability to obtain accurate histories for a comparative study of compulsive overeating and alcoholism was severely compromised by the high degree of denial, shame and self-blame present in these two overlapping disease entities. Areas of overlap included similar progression of the disease, familial tendencies, and ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559827

    authors: Wittig VR,Wittig JH

    更新日期:1993-02-01 00:00:00

  • Thoracic Duct Narrowing-Innovative Technique Restraining Weight Gain in Rats.

    abstract:BACKGROUND:The lymphatic system is responsible for the absorption of fats from the digestive system, conveying 60-70 % of ingested fat to the blood stream. From the anatomical point of view, all the lymphatic drainage from the lower half of the body converges in the abdomen to enter the thoracic duct. This experimental...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1917-y

    authors: Rosenzweig B,Barshack I,Harats D,Shaish A

    更新日期:2015-12-01 00:00:00

  • The Effect of a Muscle Weight-Bearing and Aerobic Exercise Program on the Body Composition, Muscular Strength, Biochemical Markers, and Bone Mass of Obese Patients Who Have Undergone Gastric Bypass Surgery.

    abstract:BACKGROUND:The effect of an exercise program on the body composition, muscular strength (MS), biochemical markers, and bone mineral density (BMD) of individuals undergoing gastric bypass is unclear. We assessed lean mass (LM), MS, bone remodeling markers, and BMD before and after supervised weight-bearing and aerobic e...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2618-5

    authors: Campanha-Versiani L,Pereira DAG,Ribeiro-Samora GA,Ramos AV,de Sander Diniz MFH,De Marco LA,Soares MMS

    更新日期:2017-08-01 00:00:00

  • Class III obesity and its relationship with the nutritional status of vitamin A in pre- and postoperative gastric bypass.

    abstract:BACKGROUND:Epidemiological findings have shown the rise of the prevalence of obesity in several segments of the world population, and more recent evidences point to a possible association with vitamin A deficiency (VAD). The aim of this study was to investigate vitamin A nutritional status in individuals with class III...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9478-y

    authors: Pereira S,Saboya C,Chaves G,Ramalho A

    更新日期:2009-06-01 00:00:00

  • A Clinical Study of Protein Sparing Modified Fast (PSMF) Administered Preoperatively to Morbidly Obese Patients: comparison of PSMF with natural food products to originally prepared PSMF.

    abstract::Morbidly obese patients are generally in a malnutritional state with an extremely high operative risk. In order to reduce the operative risk, surgeons should make every effort before the operation. A protein sparing modified fast (PSMF) may exhibit its high effectiveness when taken at least for 2 weeks preoperatively....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089292765560510

    authors: Kawamura I I,Chen CC,Yamazaki K,Miyazawa Y,Isono K

    更新日期:1992-02-01 00:00:00

  • Biliopancreatic Diversion with a New Type of Gastrectomy.

    abstract::In an attempt to improve the results of biliopancreatic diversion in the treatment of morbid obesity, two aspects of the procedure performed at Laval Hospital were modified to reduce adverse physiological consequences. The distal gastrectomy was replaced by a parietal gastrectomy which preserves vagal continuity along...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559728

    authors: Marceau P,Biron S,Bourque RA,Potvin M,Hould FS,Simard S

    更新日期:1993-02-01 00:00:00

  • Prevalence and co-occurrence of upper and lower functional gastrointestinal symptoms in patients eligible for bariatric surgery.

    abstract:BACKGROUND:Obesity is considered as a risk factor for many functional digestive disorders. The aim of the present study was to evaluate the prevalence and the association of functional digestive symptoms affecting the upper and the lower digestive tract in patients eligible for bariatric surgery. METHODS:Before surger...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0396-z

    authors: Fysekidis M,Bouchoucha M,Bihan H,Reach G,Benamouzig R,Catheline JM

    更新日期:2012-03-01 00:00:00

  • Are we operating too late? Mortality Analysis and Stochastic Simulation of Costs Associated with Bariatric Surgery: Reconsidering the BMI Threshold.

    abstract:BACKGROUND:Present guidelines recommend bariatric surgery at BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with obesity-related morbidity. METHODS:Evidence for cost and mortality/morbidity risk of bariatric surgery and obesity-related diseases was evaluated determining equivalency point of absolute incremental mortality risk by BM...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1934-x

    authors: Sinha AC,Singh PM,Bhat S

    更新日期:2016-01-01 00:00:00

  • Preoperative Intermaxillary Fixation has no Influence on Weight Loss Induced by Vertical Banded Gastroplasty.

    abstract::Surgery is the only therapeutic modality that has shown lasting results in the treatment of morbid obesity. Ability to lose weight by voluntary dieting has been associated with unsatisfactory weight loss after gastroplasty. This report examines the effect of preoperative inter-maxillary fixation (IMF) on weight reduct...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559287

    authors: Hedenbro J,Frederiksen S,Jansson O,Jisander S

    更新日期:1993-08-01 00:00:00

  • Subcutaneous placement of lap band port without fascial fixation provides safe and durable access.

    abstract:BACKGROUND:Laparoscopic adjustable gastric band access port has been routinely sutured to the anterior fascia of the abdominal wall using nonabsorbable sutures. We present our technique demonstrating that nonfascial fixation with using a mesh allows for a safe and durable placement of the port in the superficial subcut...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1286-y

    authors: Akkary E,Olgers F

    更新日期:2014-11-01 00:00:00

  • Incidental Gastrointestinal Stromal Tumors (GISTs) and Bariatric Surgery: A Review.

    abstract::The number of bariatric procedures has increased notably, with incidental findings such as gastrointestinal stromal tumors (GISTs) being observed in 2%. The number of studies dealing with incidental findings during bariatric surgery (BS), especially GISTs, is scarce. This review aims to summarize the evidence about GI...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-020-04853-1

    authors: Fernández JA,Frutos MD,Ruiz-Manzanera JJ

    更新日期:2020-11-01 00:00:00

  • Examining Nutrition Knowledge of Bariatric Surgery Patients: What Happens to Dietary Knowledge over Time?

    abstract:BACKGROUND:Nutrition education is a standard of care in bariatric surgery clinical practice guidelines. Despite its known importance, no studies have documented the trajectory of nutrition knowledge over the course of the bariatric surgery process. Primary objectives included determining changes in bariatric surgery nu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1846-9

    authors: Taube-Schiff M,Chaparro M,Gougeon L,Shakory S,Weiland M,Warwick K,Plummer C,Sockalingam S

    更新日期:2016-05-01 00:00:00

  • A successful model of setting up a bariatric practice.

    abstract::Vital for any surgeon choosing to perform bariatric surgery is to be financially savvy. Establishing a practice is not a simple matter. This article will describe how physicians can establish their practice in weight loss medicine. To better insure success, wisdom dictates that one perform a geographical study with re...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-007-9377-7

    authors: Frezza EE,Wachtel MS

    更新日期:2008-07-01 00:00:00

  • Retroperitoneoscopic Adrenalectomy in Obese Patients: Is It Suitable?

    abstract:BACKGROUND:The aim of this study was to evaluate the suitability of posterior retroperitoneoscopic adrenalectomy for patients with morbid obesity. METHODS:This retrospective clinical cohort study included patients who underwent elective posterior retroperitoneoscopic adrenalectomy. Intraoperative (operative time, bloo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1475-8

    authors: Zonča P,Bužga M,Ihnát P,Martínek L

    更新日期:2015-07-01 00:00:00

  • Calculating surgical costs: how accurate and predictable is the cost of a laparoscopic Roux-en-Y gastric bypass?

    abstract:BACKGROUND:Although bariatric surgery is highly effective for controlling obesity and its complications, it is uncovered by third-party payers in many countries. High cost and unpredictable expenses account for the lack of coverage. We developed at our obesity clinic a fixed package for the Laparoscopic Roux-en-Y Gastr...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9318-5

    authors: Mosti M,Domínguez G,Herrera MF

    更新日期:2007-12-01 00:00:00

  • Effects of Biliopancreatic Diversion on Bone Turnover Markers and Association with Hormonal Factors in Patients with Severe Obesity.

    abstract:BACKGROUND:This study evaluated early and medium-term changes in bone turnover markers, and their associations with weight loss, total bone mineral density (BMD), and hormonal changes after biliopancreatic diversion (BPD). METHODS:Ancillary study from a one-year prospective cohort of 16 individuals assessed before, 3 ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3617-x

    authors: Turcotte AF,Grenier-Larouche T,Ung RV,Simonyan D,Carreau AM,Carpentier AC,Mac-Way F,Michou L,Tchernof A,Biertho L,Lebel S,Marceau S,Gagnon C

    更新日期:2019-03-01 00:00:00