| Literature DB >> 30244332 |
Alexandra J Baumann1, Lazarus Katana Mramba2, Russell B Hawkins3, Anne-Marie Carpenter3, Max S Fleisher4, Alexander L Ayzengart5, David S Estores6.
Abstract
Gastrojejunostomy anastomotic strictures are a complication of Roux-en-Y gastric bypass surgery without an established treatment guideline. A systematic review and meta-analysis were performed to determine the safety and efficacy of endoscopic dilation in their management. PubMed, Web of Science, and Cochrane Central (1994-2017) were searched. Data was analyzed with random effects meta-analysis and mixed effects meta-regression. Twenty-one observational studies (896 patients) were included. The stricture rate for laparoscopic patients was 6% (95% CI, 5-9%). Only 38% (95% CI, 30-47%) required greater than one dilation. Symptom improvement occurred in 97% (95% CI, 94-98%). The complication rate was 4% (95% CI, 3-6%). Endoscopic dilation of GJA strictures is safe, effective, and sustaining. This study can guide endoscopists in the treatment of a common bariatric surgical complication.Entities:
Keywords: Adults; Anastomosis, Roux-en-Y; Anastomosis, surgical/adverse effects; Constriction, Pathologic/etiology/therapy; Endoscopy, gastrointestinal; Humans
Mesh：
Year: 2018 PMID： 30244332 DOI： 10.1007/s11695-018-3491-6
Source DB: PubMed Journal: Obes Surg ISSN： 0960-8923 Impact factor: 4.129