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

Authors: Stanczyk, Malgorzata; Deveney, Clifford; Traxler, Sarah; McConnell, Donald; Jobe, Blair; O'Rourke, Robert

Source: Obesity Surgery, Volume 16, Number 3, March 2006 , pp. 359-364(6)

Publisher: Springer

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Abstract:

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.

Keywords: GASTRIC BYPASS; GASTRO-GASTRIC FISTULA; MORBID OBESITY

Document Type: Research Article

DOI: http://dx.doi.org/10.1381/096089206776116426

Publication date: March 1, 2006

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