ArticleObesity surgery
Late perforation of the jejuno-jejunal anastomosis after laparoscopic Roux-en-Y gastric bypass.
Article in Obesity surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 19 citations in OpenAlex.
- Late Jejunojejunal Perforation After Laparoscopic Roux-en-Y Gastric Bypass: A Systematic Narrative Review.Cureus · 2025Review
- Feasibility and Safety Study of the Use of a New Robot (Maestro™) for Laparoscopic Surgery.Obesity surgery · 2024Article
- Perforated Ischemic Ulcer at the Jejuno-Jejunal Anastomosis 9 Years Post-laparoscopic Roux-en-Y Gastric Bypass-a Case Report.Obesity surgery · 2024Article
- Ileal bezoar causing bowel obstruction mimicking an internal hernia in a patient with Roux-en-Y gastric bypass.Clinical journal of gastroenterology · 2020Article
- Imaging after Bariatric Surgery: When Interpretation Is a Challenge, from Normal to Abnormal.Obesity surgery · 2018Review
- What Causes Late Perforation of the Jejuno-jejunal Anastomosis After Roux-en-Y Gastric Bypass Surgery?Obesity surgery · 2016Article
- What Causes Late Perforation of the Jejuno-Jejunal Anastomosis After Roux-en-Y Gastric Bypass Surgery?Obesity surgery · 2015Article
- Late perforation and abscess formation at the site of the jejunojejunal anastomosis following laparoscopic Roux-en-Y gastric bypass surgery.Obesity surgery · 2009Article
- Laparoscopic repair of a free perforation of a marginal ulcer after Roux-en-Y gastric bypass: a safe alternative to open exploration.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Laparoscopic Roux-en-Y Gastric bypass utilizing the triple stapling technique.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Roux-en-Y gastric bypass (RYGBP) is the most commonly performed operation for the treatment of morbid obesity in the USA. Complications related to the jejuno-jejunal (J-J) anastomosis include postoperative leak, staple-line bleeding and obstruction. We present 3 cases of perforation at the J-J anastomosis occurring more than 30 days after surgery. 3 morbidly obese patients underwent laparoscopic RYGBP. The side-to-side J-J anastomosis was created with a linear stapler, and the anastomotic defect was closed with a running absorbable suture. All 3 patients had uneventful recoveries, but presented 7 to 8 weeks postoperatively with acute abdominal pain and peritoneal signs. Exploratory laparoscopy in these patients revealed a perforation at the J-J anastomosis. No apparent reason for the perforation was found in 2 patients. These perforations were repaired laparoscopically with absorbable suture. The third patient had an obstruction at the J-J anastomosis from an phytobezoar and required conversion to open technique due to limited pneumoperitoneum. All 3 patients recovered uneventfully. Late perforation of the J-J anastomosis is a very rare complication. Primary laparoscopic repair is a feasible and safe choice of treatment.
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