Creation of new anastomosis for management of obstructive symptoms related to gastrojejunal anastomosis in patients who undergo gastric bypass: a case series.

ABSTRACT:

Background and aims

Roux-en-Y gastric bypass (RYGB) is associated with gastrojejunal (GJ) strictures in up to 20% of patients. Surgical revision of the GJ anastomosis is technically challenging and carries significant morbidity, making endoscopic therapies such as endoscopic balloon dilation (EBD) and stent placement the preferred approach. In addition, the angulation of GJ anastomosis relative to the Roux limb can cause obstructive symptoms, which are less amenable to EBD or stent placement. In patients with refractory strictures and/or angulation, we evaluate the safety and feasibility of a new anastomosis EUS-guided gastroenterostomy as an alternative to surgical revision.

Methods

In patients with refractory GJ strictures and/or angulation, a new anastomosis EUS-guided ga

SUBMITTER: Agrawal R 

PROVIDER: S-EPMC11806424 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature