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Gastro-gastric Fistula in the Era of Divided Roux-en-Y Gastric Bypass: Strategies for Prevention, Diagnosis, and Management

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Roux-en-Y gastric bypass (RYGBP) is a mainstay of bariatric surgical therapy. Gastro-gastric fistula (GGF) is an infrequent but potentially serious complication of gastric bypass, and diagnosis may be difficult. We report two patients who underwent RYGBP complicated by development of GGF who nevertheless achieved excellent, durable weight loss. The pathogenesis, diagnosis, prevention and management of GGF after RYGBP is reviewed. GGF may not result in poor weight loss after RYGBP and is not an absolute indication for surgical revision.

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Authors and Affiliations

  1. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Malgorzata Stanczyk MD

  2. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Clifford W Deveney MD

  3. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Sarah A Traxler BA

  4. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Donald B McConnell MD

  5. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Blair A Jobe MD

  6. Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    Robert W O'Rourke MD

Authors
  1. Malgorzata Stanczyk MD
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  2. Clifford W Deveney MD
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  3. Sarah A Traxler BA
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  4. Donald B McConnell MD
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  5. Blair A Jobe MD
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  6. Robert W O'Rourke MD
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Stanczyk, M., Deveney, C.W., Traxler, S.A. et al. Gastro-gastric Fistula in the Era of Divided Roux-en-Y Gastric Bypass: Strategies for Prevention, Diagnosis, and Management. OBES SURG 16, 359–364 (2006). https://doi.org/10.1381/096089206776116426

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  • DOI: https://doi.org/10.1381/096089206776116426

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