Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass
Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass
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DOI：
10.1007/s00464-002-8908-5
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发表时间：
2003-03-01
影响因子：
3.1
通讯作者：
Newman, R
中科院分区：
文献类型：
--
作者：
Barba, CA;Butensky, MS;Newman, R
背景资料：胃旁路手术后狭窄的管理使用球囊dilations.Methods：所有进行的扩张进行回顾性分析。使用球囊扩张器，和所有狭窄最初扩张到12至15毫米1分钟。结果：审查包括24例患者，平均年龄为42.8岁，平均体重指数为49.6。除一名患者外，其他患者均为女性。在手术方面，67%需要一次扩张，30%需要两次扩张。在手术后的前3个月，21例患者发生狭窄。3例患者（13%）发生泄漏。没有内窥镜外观提示需要重复手术。所有的扩张是成功的，体重减轻比较以及在其余的patients.Conclusions：胃旁路术后吻合口狭窄的治疗成功的技术。大多数患者需要一次扩张。大多数狭窄出现在手术后的前3个月。女性和渗漏可能是狭窄发生的高危因素。
Background: The management of strictures after gastric bypass procedure using balloon dilation is described.Methods: A retrospective review of all dilations performed is presented. Balloon dilators were used, and all strictures were dilated initially up to 12 to 15 mm for 1 min.Results: The review included 24 patients with a mean age of 42.8 years and a mean body mass index of 49.6. All the patients except one were women. In terms of procedure, 67% required one dilation and 30% required two. In the first 3 months after surgery, 21 patients developed the stricture. Three patients (13%) had leaks. There was no endoscopic appearance suggesting the need for a repeated procedure. All the dilations were successful, and weight loss compared well with that in the rest of the patients.Conclusions: A successful technique for the treatment of anastomotic strictures after gastric bypass is presented. Most of the patients required one dilation. Most strictures appeared during the first 3 months after surgery. Female gender and leak may be high risk factors for the development of stricture.