Erschienen in:
01.09.2009 | SSAT/SAGES Joint Symposium
Management of Leak in the Bariatric Gastric Bypass Patient: Reoperate, Drain and Feed Distally
verfasst von:
Basil M. Yurcisin, Eric J. DeMaria
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 9/2009
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Excerpt
Obesity is recognized as an epidemic in industrialized nations including the USA. It is well known that up to 30% of the adult population in the USA is obese.
1 Roux-en-Y gastric bypass has proven to be a reliable and durable treatment for obesity, with medical management being mostly ineffective.
2 Roux-en-Y gastric bypass has gained popularity since its inception in the 1960s. Laparoscopic gastric bypass (LRYGB) is a safe procedure in comparison to open gastric bypass (ORYGB) and has been shown by multiple authors to reduce major wound complications including wound infection and incisional hernia.
3 Of the complications of gastric bypass, leak may be the most devastating. Leak after gastric bypass is associated with a high morbidity and mortality. The overall incidence of leak after gastric bypass ranges between 2% and 5%, with the gastrojejunal (GJ) anastomosis being the most common site.
1 Management strategy of leak after gastric bypass is a topic of much discussion in the bariatric literature. For surgeons performing this procedure, it is important to understand how to manage this complication. …
