Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity

P. K. Papasavas, P. F. Caushaj, J. T. McCormick, R. F. Quinlin, F. D. Hayetian, J. Maurer, J. J. Kelly, D. J. Gagné

Research output: Contribution to journalArticle

116 Scopus citations

Abstract

Background: We reviewed our experience with complications following laparoscopic Roux-en-Y gastric bypass (LRYGB) that were managed laparoscopically. Methods: A total of 246 consecutive morbidly obese patients (mean body mass index, 50.9 kg/m2) underwent LRYGB by three surgeons at two institutions. All patients met National Institutes of Health criteria for surgical treatment of morbid obesity. Patients were followed prospectively. Results: A total of 62 patients (25.2%) developed 64 complications, 34 of which (13.8%) required a surgical intervention. Twenty-seven of the 34 procedures were performed laparoscopically. Gastrojejunostomy stricture was the most common complication (8.9%), followed by intestinal obstruction (7.3%) and gastrointestinal bleeding (4%). The intestinal obstruction was secondary to adhesions (n = 6), internal hernia at the level of the transverse mesocolon (n = 3), jejunojejunostomy stricture (n = 3), and cicatrix around the Roux limb at the level of the transverse mesocolon (n = 3). Other complications included gastrojejunostomy leak (1.6%), symptomatic gallstone disease (2.8%), and gastric remnant perforation (0.8%). One patient underwent a negative laparoscopy to rule out anastomotic leak. There were 3 deaths in this series of patients, 2 attributable to anastomotic leak. Conclusions: A variety of complications can present after LRYGB. Laparoscopy is an excellent technique to treat these complications.

Original languageEnglish (US)
Pages (from-to)610-614
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume17
Issue number4
DOIs
StatePublished - Apr 1 2003
Externally publishedYes

Keywords

  • Bariatric surgery
  • Laparoscopic
  • Morbid obesity
  • Roux-en-Y gastric bypass

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity'. Together they form a unique fingerprint.

  • Cite this