Percutaneous gastrostomy of the excluded gastric segment after Roux-en-Y gastric bypass surgery.
نویسندگان
چکیده
A new technique for percutaneous gastrostomy of a decompressed excluded gastric segment after Roux-en-Y gastric bypass (RYGBP) surgery is described and the results in a single institution are reviewed. Computed tomography guidance was used to place a 21- or 22-gauge needle into the lumen of the stomach and distend it to allow placement of a feeding catheter. Ten women underwent the procedure, and despite only three patients having clear access windows, gastrostomy placement was ultimately successful in all 10 patients. Percutaneous gastrostomy of the decompressed excluded gastric segment after RYGBP surgery can be challenging, but a high rate of success can be achieved.
منابع مشابه
Percutaneous endoscopy to diagnose malignancy in gastric outlet obstruction of excluded stomach after gastric bypass
Gastric cancer in the excluded stomach after Roux-en-Y gastric bypass is a rare finding and most reported diagnoses are made via surgery. Endoscopic access to the excluded stomach is difficult, even with balloon-assisted enteroscopy. We present the case of a 74-year-old woman with malignant gastric outlet obstruction of the excluded stomach, 41 years after Roux-en-Y gastric bypass. Minimally in...
متن کاملVirtual gastroduodenoscopy: a new look at the bypassed stomach and duodenum after laparoscopic Roux-en-Y gastric bypass for morbid obesity.
BACKGROUND After open or laparoscopic Roux-en-Y gastric bypass (RYGBP) for morbid obesity, the bypassed stomach and duodenum are not readily available for radiological and endoscopic evaluation. Furthermore, little is known about the long-term physiologic and histologic changes that occur in the bypassed GI segments following these procedures. Many alternative radiological and endoscopic techni...
متن کاملAcute gastric remnant dilation after laparoscopic Roux-en-Y gastric bypass operation in long-standing type I diabetic patient: Case report and literature review.
Acute gastric remnant dilation is a rare postoperative complication of laparoscopic Roux-en-Y gastric bypass (LRYGB) occurring in 0–0.8% of cases [1–7]. It is usually associated with jejunojejunostomy obstruction or gastric remnant ulcer formation. The typical presenting symptoms include left upper quadrant abdominal pain, hiccups, and persistent tachycardia. It is managed by gastrostomy tube d...
متن کاملبررسی ایمنی لاپاروسکوپی اسلیوگاستروکتومی درمقایسه با دو روش لاپاروسکوپی رو–ان-وای گاستریک بای پاس و لاپاروسکوپی گاستریک باندینگ درافراد با چاقی مفرط: مرور نظام‌مند
Introduction: Laparoscopic Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding are the most common bariatric surgery procedures. Therefore, this study aims to compare the safety of the newer procedure of Laparoscopic sleeve gastrectomy compared to Laparoscopic Roux-en-Y gastric bypass and Laparoscopic adjustable gastric bonding. Method: A systematic review was conducted on t...
متن کاملEndoscopic findings in the excluded stomach after Roux-en-Y gastric bypass surgery.
HYPOTHESIS After gastric bypass surgery performed because of morbid obesity, the excluded stomach can rarely be endoscopically examined. With the advent of a new apparatus and technique, possible mucosal changes can be routinely accessed and monitored, thus preventing potential benign and malignant complications. DESIGN Prospective observational study in a homogeneous population with nonspeci...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of vascular and interventional radiology : JVIR
دوره 18 7 شماره
صفحات -
تاریخ انتشار 2007