PMID- 15826466
OWN - NLM
STAT- MEDLINE
DCOM- 20050714
LR  - 20071205
IS  - 0960-8923 (Print)
IS  - 0960-8923 (Linking)
VI  - 15
IP  - 3
DP  - 2005 Mar
TI  - Endoscopy after Roux-en-Y gastric bypass: a community hospital experience.
PG  - 342-5
AB  - BACKGROUND: Roux-en-Y gastric bypass (RYGBP) is a common surgical intervention 
      for morbid obesity. Postoperative GI symptoms are common. This study reports the 
      endoscopic findings in symptomatic patients. METHODS: Patients who developed GI 
      symptoms after RYGBP at a single community hospital were referred for endoscopic 
      evaluation. Standard endoscopic procedures using standard endoscopic equipment 
      were used. RESULTS: From April 2002 to April 2004, 23 out of 200 patients 
      underwent 35 endoscopic procedures. All patients complained of some degree of 
      epigastric pain, nausea and vomiting regardless of endoscopic findings. The most 
      common endoscopic finding was ulcer disease (12 patients - 52%). Other findings 
      included normal postoperative anatomy (7 patients - 30%), anastomotic stricture 
      (1 patient - 4.3%), obstructed biliopancreatic limb (1 patient - 4.3%), acute 
      gastric pouch bleed (1 patient - 4.3%), anastomotic rupture/dehiscence (1 patient 
      - 4.3%). H. pylori was not detected in any patient. CONCLUSIONS: In patients who 
      have had RYGBP, symptoms were a poor predictor of endoscopic pathology. Ulcer 
      disease was the most common endoscopic finding. These ulcers were not associated 
      with H. pylori. All ulcers responded well to oral proton pump inhibitors (PPI) 
      and sucralfate therapy. The community gastroenterologist should be acquainted 
      with the typical post-surgical anatomy and possible endoscopic intervention for 
      RYGBP patients.
FAU - Marano, Benjamin J Jr
AU  - Marano BJ Jr
AD  - Department of Internal Medicine, Section of Gastroenterology, White Plains 
      Hospital Center, White Plains, NY, USA. benmarano@optonline.net
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Abdominal Pain/diagnosis
MH  - Adult
MH  - *Anastomosis, Roux-en-Y/adverse effects
MH  - Anastomosis, Surgical/adverse effects
MH  - Cholestasis/diagnosis
MH  - Constriction, Pathologic/diagnosis
MH  - Endoscopy, Gastrointestinal/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - *Gastric Bypass/adverse effects
MH  - Gastrointestinal Hemorrhage/diagnosis
MH  - Hospitals, Community
MH  - Humans
MH  - Jejunal Diseases/diagnosis
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/surgery
MH  - Peptic Ulcer/diagnosis
MH  - Postoperative Complications
MH  - Postoperative Nausea and Vomiting/diagnosis
MH  - Rupture, Spontaneous
MH  - Stomach Ulcer/diagnosis
MH  - Surgical Wound Dehiscence/diagnosis
EDAT- 2005/04/14 09:00
MHDA- 2005/07/15 09:00
CRDT- 2005/04/14 09:00
PHST- 2005/04/14 09:00 [pubmed]
PHST- 2005/07/15 09:00 [medline]
PHST- 2005/04/14 09:00 [entrez]
AID - 10.1381/0960892053576767 [doi]
PST - ppublish
SO  - Obes Surg. 2005 Mar;15(3):342-5. doi: 10.1381/0960892053576767.