Hand-Sewn Gastrojejunostomy In Situ to Solve Acute Anastomotic Stricture Due to Submucosal Tunneling in Gastric Bypass.
Yiqiao ZhangShibo BianMengyi LiMeng ZhangPeng ZhangYang LiuZhong-Tao ZhangPublished in: Obesity surgery (2023)
Roux-en-Y gastric bypass (RYGB) is the second most widely used bariatric surgical procedure for morbid obesity and its related comorbidities. Anastomotic stricture is one of the major complications after RYGB. Submucosal tunneling is a rare cause of anastomotic stricture or occlusion, and clinical symptoms will appear soon after surgery. We present our technical suggestions to perform a hand-sewn gastrojejunostomy in situ when the gastric pouch is too small and the tissue is not enough to be resected to solve acute anastomotic stricture due to submucosal tunneling in gastric bypass.
Keyphrases
- roux en y gastric bypass
- gastric bypass
- weight loss
- rectal cancer
- obese patients
- bariatric surgery
- endoscopic submucosal dissection
- liver failure
- respiratory failure
- drug induced
- metabolic syndrome
- aortic dissection
- insulin resistance
- lymph node
- type diabetes
- minimally invasive
- weight gain
- adipose tissue
- depressive symptoms
- sleep quality
- high fat diet induced
- mechanical ventilation
- physical activity
- body mass index