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Re-do Laparoscopic Gastrojejunostomy for Gastrojejunal Anastomosis Stricture After Roux-en-Y Gastric Bypass

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Abstract

Stricture of the gastrojejunostomy is a possible complication after laparoscopic Roux-en-Y gastric bypass. We present the case of a patient with stricture refractory to endoscopic dilation. The patient underwent laparoscopic revision of the gastrojejunostomy with a hand-sewn anastomosis.

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Authors and Affiliations

  1. Department of General Surgery, Bellevue Hospital/NYU Langone Health, 550 1st Avenue, New York, NY, 10016, USA

    Patricio Bernardo Lynn, Sarah Elizabeth Pivo, Mohamed El Zaeedi, Manish Parikh & John Kenneth Saunders

Authors
  1. Patricio Bernardo Lynn
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  2. Sarah Elizabeth Pivo
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  3. Mohamed El Zaeedi
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  4. Manish Parikh
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  5. John Kenneth Saunders
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Corresponding author

Correspondence to Manish Parikh.

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Key Points

• Gastrojejunostomy stenosis is a possible complication after Roux-en-Y gastric bypass.

• Circular stapler, non-absorbable suture use, smoking, and marginal ulcer have been associated with this complication.

• Endoscopic dilatation is the first-line treatment with success rates of over 80%.

• Surgical treatment is necessary when endoscopic dilatation fails.

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Lynn, P.B., Pivo, S.E., Zaeedi, M.E. et al. Re-do Laparoscopic Gastrojejunostomy for Gastrojejunal Anastomosis Stricture After Roux-en-Y Gastric Bypass. OBES SURG 31, 5506–5507 (2021). https://doi.org/10.1007/s11695-021-05711-4

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  • DOI: https://doi.org/10.1007/s11695-021-05711-4

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