Erschienen in:
02.04.2024 | Multimedia Article
Intra-Operative Upper GI Endoscopy Helps to Identify the Gastro-Jejunostomy Perforation Site in Roux-en-Y Gastric Bypass Patient
verfasst von:
Alaa Attia, Sashi Yeluri, Nehemiah Samuel, Srinivasan Balchandra, Peter Vasas
Erschienen in:
Obesity Surgery
|
Ausgabe 5/2024
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Excerpt
In the post-pandemic era, the uptick of bariatric and metabolic surgery (BMS) exceeds all previous levels. Roux-en-Y gastric bypass (RYGB) is still among the most performed procedures worldwide [
1], and overall, more than one million patients have undergone this procedure. However, as with any surgical procedure, there are associated risks for long-term complications, such as marginal ulcers (also known as gastro-jejunostomy ulcer) [
2].The reported incidence of the marginal ulcer is between 0.6 to 25% and 20 to 50% of these can perforate, which can cause emergency presentation and requires an urgent surgical intervention, preferably via a minimally invasive method [
3‐
5]. Due to the expected inflammatory process and altered anatomy, identifying the perforation site is not always an easy manoeuvre, especially in less experienced hands. In these cases, the diagnostic aid of an intraoperative endoscopy can be of great value in correctly identifying the perforation site, as well as raising a strong suspicion of additional perforation. In this case report, an intra-operative upper GI endoscopy has been used to assist in confirming the possible location of gastro-jejunostomy perforation site. …
