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Endoclip Closure of Jejunal Perforation after Balloon Dilatation

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Abstract

Endoscopy is commonly used in patients undergoing Roux-en-Y gastric bypass (RYGBP) for diagnosis and intervention. Stomal stricture at the gastrojejunostomy occurs in approximately 3% to 17% of patients after laparoscopic RYGBP. The incidence of iatrogenic perforation during stomal balloon dilatation is reported to be 3% to 12% among these patients. Surgery has typically been required for iatrogenic perforation. With the availability of the endoclip, endoscopists are able to manage iatrogenic perforation non-operatively. We report a patient who had jejunal perforation during balloon dilatation after RYBGP, who was successfully closed with endoclip applications and managed non-operatively.

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Authors and Affiliations

  1. Division of Digestive Diseases, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA

    Shou-jiang Tang MD, Linda Tang MD & Samir Gupta MD

  2. Department of Surgery, UT Southwestern Medical Center, Dallas, TX, USA

    Homero Rivas MD

Authors
  1. Shou-jiang Tang MD
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  2. Linda Tang MD
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  3. Samir Gupta MD
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  4. Homero Rivas MD
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Correspondence to Shou-jiang Tang MD.

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Tang, Sj., Tang, L., Gupta, S. et al. Endoclip Closure of Jejunal Perforation after Balloon Dilatation. OBES SURG 17, 540–543 (2007). https://doi.org/10.1007/s11695-007-9093-3

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  • DOI: https://doi.org/10.1007/s11695-007-9093-3

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