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Title of Journal: Surg Endosc

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Abbravation: Surgical Endoscopy

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Springer-Verlag

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DOI

10.1007/3-540-44498-X_23

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1432-2218

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Endoscopic treatment of RouxenY gastric bypassr

Authors: Fauze MalufFilho Fabio Hondo Bhawna Halwan Marcelo Simas de Lima José Humberto GiordanoNappi Paulo Sakai
Publish Date: 2009/03/19
Volume: 23, Issue: 7, Pages: 1541-1545
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Abstract

RouxenY gastric bypass RYGB is amongst the commonest surgical intervention for weight loss in obese patients Gastrocutaneous fistula which usually occurs along the vertical staple line of the pouch is amongst its most alarming complications Medical management comprised of wound drainage nutritional support acid suppression and antibiotics may be ineffective in as many as a third of patients with this complication We present outcomes after endoscopic application of SurgiSIS® which is a novel biomaterial for the treatment of this complicationIn patients who had failed medical management lasting 4–25 median 7 weeks closure of the fistulous tract was successful after one application in six patients 30 two applications in 11 patients 55 and three applications in three patients 15 There were no procedurerelated complications

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