Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass

Barba, Carlos; Butensky, Michael; Lorenzo, Manuel; Newman, Richard M.

doi:10.1007/s00464-002-8908-5

Cited by 102 publications

(53 citation statements)

References 4 publications

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“…If medically indicated and if such a patient is willing, further bariatric surgery should be considered (EL B, C, D [229][230][231][232][233][234][235][236][237][238][239][240][241][242] ).…”

Section: Failed Treatmentmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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In 2012, an outstanding expert panel derived from IFSO-EC (International Federation for the Surgery of Obesity -European Chapter) and EASO (European Association for the Study of Obesity), composed by key representatives of both Societies including past and present presidents together with EASO's OMTF (Obesity Management Task Force) chair, agreed to devote the joint Medico-Surgical Workshop of both institutions to the topic of metabolic surgery as a pre-satellite of the 2013 European Congress on Obesity (ECO) to be held in Liverpool given the extraordinarily advancement made specifically in this field during the past years. It was further agreed to revise and update the 2008 Interdisciplinary European Guidelines on Surgery of Severe Obesity produced in cooperation of both Societies by focusing in particular on the evidence gathered in relation to the effects on diabetes during this lustrum and the subsequent changes that have taken place in patient eligibility criteria. The expert panel composition allowed the coverage of key disciplines in the comprehensive management of obesity and obesity-associated diseases, aimed specifically at updating the clinical guidelines to reflect current knowledge, expertise and evidence-based data on metabolic and bariatric surgery.

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Section: Failed Treatmentmentioning

confidence: 99%

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

et al. 2013

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“…Some authors have obtained good results by Savary-Gilliard bougies (11). Although most prefer the use of through-the-scope (TTS) (4,5,8,10,12,(14)(15)(16)(17)(18). Our experience shows that the dilation of the stenosis of the stoma using TTS balloon is safe and effective.…”

Section: Discussionmentioning

confidence: 80%

“…Published studies are not clear when it comes to describing this aspect. The minority of them clearly manifest not using fluoroscopy during dilation (4,18), others claim to have used it in all or in one of their patients (5,6,8,11,16), and finally, others do not make any sort of comment in this regard in their publications (9,10,14,15,17). Our experience demonstrates that carrying out dilations in patients with stenosis of the anastomosis in the gastric bypass is possible without a fluoroscopic guidance, allowing carrying out the technique in the simplest manner, in the same endoscopy room, without radiation for the patient or for the medical staff, and probably for a shorter period of time.…”

Section: Discussionmentioning

confidence: 99%

“…This route offers clear advantages compared to open surgery, such as: less blood loss during surgery, less postoperative pain, a lower incidence of wound infections, a shorter hospital stay, and a shorter period of recovery (2). The stenosis of the stoma (stenosis of the gastro-jejunal anastomosis) occurs in approximately 3-12% after gastric bypass, and must be suspected when the patient experiences dysphagia, nausea and vomiting (2)(3)(4)(5)(6)(7)(8)(9). Endoscopic dilation of the stenosis by means of a balloon or bougie is considered the treatment of choice, even if in most studies it is not quite clear whether it should be done with or without a radioscopic guidance (4)(5)(6)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) In this study, we informed of our experience in the management of the stenosis of the stoma in patients with laparoscopic gastric bypass by means of endoscopic dilation with a hydrostatic balloon, without fluoroscopic guidance.…”

Section: Introductionmentioning

confidence: 99%

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Stenosis in laparoscopic gastric bypass: management by endoscopic dilation without fluoroscopic guidance

Espinel¹,

de-la-Cruz²,

Pinedo³

et al. 2011

Rev. esp. enferm. dig.

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“…If medically indicated and if such a patient is willing, further bariatric surgery should be undertaken (EL B, C, D [132][133][134][135][136][137][138][139][140][141][142][143][144][145] ).…”

Section: Failed Treatmentmentioning

confidence: 99%

Inter-disciplinary European guidelines on surgery of severe obesity

et al. 2007

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In 2005, for the first time in European history, an extraordinary Expert panel named 'The BSCG' (Bariatric Scientific Collaborative Group), was appointed through joint effort of the major European Scientific Societies which are active in the field of obesity management. Societies that constituted this panel were: IFSO -International Federation for the Surgery of Obesity, IFSO-ECInternational Federation for the Surgery of Obesity -European Chapter, EASO -European Association for Study of Obesity, ECOG -European Childhood Obesity Group, together with the IOTF (International Obesity Task Force) which was represented during the completion process by its representative. The BSCG was composed not only of the top officers representing the respective Scientific Societies (four acting presidents, two past presidents, one honorary president, two executive directors), but was balanced with the presence of many other key opinion leaders in the field of obesity. The BSCG composition allowed the coverage of key disciplines in comprehensive obesity management, as well as reflecting European geographical and ethnic diversity. This joint BSCG expert panel convened several meetings which were entirely focused on guidelines creation, during the past two years. There was a specific effort to develop clinical guidelines, which will reflect current knowledge, expertize and evidence based data on morbid obesity treatment.

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Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass

Cited by 102 publications

References 4 publications

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Interdisciplinary European Guidelines on Metabolic and Bariatric Surgery

Stenosis in laparoscopic gastric bypass: management by endoscopic dilation without fluoroscopic guidance

Inter-disciplinary European guidelines on surgery of severe obesity

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