Gastro-gastric fistula in the era of divided Roux-en-Y gastric bypass: Strategies for prevention, diagnosis, and management

Malgorzata Stanczyk, Clifford W. Deveney, Sarah A. Traxler, Donald B. McConnell, Blair A. Jobe, Robert W. O'Rourke

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Roux-en-Y gastric bypass (RYGBP) is a mainstay of bariatric surgical therapy. Gastro-gastric fistula (GGF) is an infrequent but potentially serious complication of gastric bypass, and diagnosis may be difficult. We report two patients who underwent RYGBP complicated by development of GGF who nevertheless achieved excellent, durable weight loss. The pathogenesis, diagnosis, prevention and management of GGF after RYGBP is reviewed. GGF may not result in poor weight loss after RYGBP and is not an absolute indication for surgical revision.

Original languageEnglish (US)
Pages (from-to)359-364
Number of pages6
JournalObesity Surgery
Volume16
Issue number3
DOIs
StatePublished - Mar 1 2006

Keywords

  • Gastric bypass
  • Gastro-gastric fistula
  • Morbid obesity

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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