Authors: A Escalona N Devaud C Boza G Pérez J Fernández L Ibáñez S Guzmán
Publish Date: 2007/02/07
Volume: 21, Issue: 5, Pages: 765-768
Abstract
RouxenY gastric bypass RYGBP is currently one of the most frequently performed procedures for the surgical treatment of morbid obesity The success of this procedure’s restrictive component requires a small gastrojejunostomy GJ which occasionally results in stenosis The treatment of choice for this complication is balloon dilation This study aimed to evaluate the feasibility and safety of ambulatory management for stenosis of the GJ using endoscopically guided Savary–Gilliard dilatorsBetween January 1998 and October 2003 769 patients underwent RYGBP The mean age of these patients was 38 ± 12 years and their mean body mass index BMI was 43 ± 6 kg/m2 Of these 769 patients 520 68 underwent open surgery and 249 32 underwent laparoscopic RYGBP Patients suspected of GJ stenosis were referred for upper gastrointestinal endoscopy Those who presented with stenosis were managed endoscopically with Savary–Gilliard dilatorsStenosis at the GJ was confirmed in 53 patients 69 A total of 71 dilations were performed for these patients resulting in a mean of 13 dilations per patient One dilation was needed for 41 patients 755 two dilations for 9 patients 169 three dilations for 3 patients 57 and four dilations 1 patient 19 The patients subjected to open RYGBP required a mean of 157 dilations and those who had laparoscopic RYGBP required mean of 108 dilations The mean time for the first dilation was 51 ± 28 days after surgery range 20–178 days All the dilations were performed in ambulatory settings One patient 19 was admitted after GJ dilation for pain He was discharged without symptoms after 2 days with no need for invasive procedures
Keywords: