Abstract
With the continued increase in the number of bariatric procedures being conducted, it is inevitable that there will be an increase in the number of complications, including anastomotic strictures, leaks, and fistulas. The reported incidence of gastrojejunal strictures after Roux-en-Y gastric bypass range from 3–22% [ [1] Csendes A. Burgos A.M. Burdiles P. Incidence of anastomotic strictures after gastric bypass: a prospective consecutive routine endoscopic study 1 month and 17 months after surgery in 441 patients with morbid obesity. Obes Surg. 2009; 19: 269-273 Crossref PubMed Scopus (49) Google Scholar ]. Leaks occur less frequently, but still range from 0–7% [ 2 Aurora A.R. Khaitan L. Saber A.A. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012; 26: 1509-1515 Crossref PubMed Scopus (396) Google Scholar , 3 Almahmeed T. Gonzalez R. Nelson L.G. Haines K. Gallagher S.F. Murr M.M. Morbidity of anastomotic leaks in patients undergoing Roux-en-Y gastric bypass. Arch Surg. 2007; 142: 954-957 Crossref PubMed Scopus (49) Google Scholar ] and lead to significant morbidity and mortality. Treatment strategies often include a dedicated multidisciplinary team utilizing endoluminal, radiologic, and surgical treatments. The bariatric surgeon often directs therapy with a clear strategy or algorithm based on the patient’s status, resources, and expertise available and most importantly the likelihood of technical and clinical success of each modality. The role of endoscopic stents in the management of chronic anastomotic and staple line leaks and chronic strictures after bariatric surgerySurgery for Obesity and Related DiseasesVol. 10Issue 4PreviewThe use of endoluminal stents has been proposed for the management of fistulas and anastomotic strictures after bariatric surgery. The objective of our study was to determine the success of endoscopically placed, self-expandable metal stents (SEMS) in bariatric patients specifically with either chronic persistent anastomotic or staple line leaks/fistulas or chronic, persistent anastomotic strictures. Full-Text PDF
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