Hand-Sewn Gastrojejunostomy In Situ to Solve Acute Anastomotic Stricture Due to Submucosal Tunneling in Gastric Bypass,Obesity Surgery

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Hand-Sewn Gastrojejunostomy In Situ to Solve Acute Anastomotic Stricture Due to Submucosal Tunneling in Gastric Bypass
Obesity Surgery ( IF 2.9 ) Pub Date : 2023-03-16 , DOI: 10.1007/s11695-023-06533-2
Yiqiao Zhang ₁ , Shibo Bian ₁ , Mengyi Li ₁ , Meng Zhang ₁ , Peng Zhang ₁ , Yang Liu ₁ , Zhongtao Zhang ₁

Affiliation

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.

Graphical Abstract

中文翻译：

原位手工缝合胃空肠吻合术解决胃旁路粘膜下隧道引起的急性吻合口狭窄

Roux-en-Y 胃旁路手术 (RYGB) 是第二广泛使用的用于治疗病态肥胖及其相关合并症的减肥手术。吻合口狭窄是RYGB术后主要并发症之一。粘膜下隧道是吻合口狭窄或闭塞的罕见原因，术后很快就会出现临床症状。当胃袋太小且组织不足以切除时，我们提出了原位手工缝合胃空肠吻合术的技术建议，以解决胃旁路术中粘膜下隧道引起的急性吻合口狭窄。

图形概要

更新日期：2023-03-16

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