ArticleObesity surgery2015
Intraoperative Endoscopy Decreases Postoperative Complications in Laparoscopic Roux-en-Y Gastric Bypass.
Article in Obesity surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 29 citations in OpenAlex.
- Efficacy and safety of anastomotic leak testing in gastric cancer: a randomized controlled trial.Surgical endoscopy · 2023Trial
- Does endoscopy at the time of revisional bariatric surgery decrease complication rates? an analysis of the NSQIP database.Surgical endoscopy · 2023Article
- Hand-Sewn Gastrojejunostomy In Situ to Solve Acute Anastomotic Stricture Due to Submucosal Tunneling in Gastric Bypass.Obesity surgery · 2023Article
- Safety and efficacy of post-anastomotic intraoperative endoscopy to avoid early anastomotic complications during gastrectomy for gastric cancer.Surgical endoscopy · 2020Article
- Value of robotic-assisted technique in redo gastrojejunostomy for severe stenosis after gastric bypass.Journal of robotic surgery · 2020Article
- Canadian consensus statement: enhanced recovery after surgery in bariatric surgery.Surgical endoscopy · 2020Review
- Does intraoperative endoscopy decrease complications after bariatric surgery? Analysis of American College of Surgeons National Surgical Quality Improvement Program database.Surgical endoscopy · 2019Article
- Tips and Tricks of Converting Laparoscopic Adjustable Gastric Banding to Roux-en-Y Gastric Bypass in one Stage.Obesity surgery · 2016Article
- The Use of Intraoperative Endoscopy May Decrease Postoperative Stenosis in Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2016Article
- The Use of Intraoperative Endoscopy Decreases Postoperative Stenosis in Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2016Article
- Laparoscopic Roux En Y Esophago-Jejunostomy for Chronic Leak/Fistula After Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2016Article
- Endoscopy Used as Provocative Testing in Bariatric Surgery: An Analysis of the Texas Public Use Data File.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Endoscopy after bariatric surgery.Annals of gastroenterologyReview
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeak or stenosis following laparoscopic Roux-en-Y gastric bypass (LRYGB) can lead to a major morbidity. We aim to evaluate whether the routine use of intraoperative endoscopy (IOE) can reduce this morbidity.
methodsAll cases of LRYGB in 2009-2014 were reviewed. In all cases, we perform an IOE. If IOE shows a leak, the area of the leak is re-enforced and IOE is repeated. If the leak persisted, a feeding tube and drains are placed.
resultsDuring the study period, we performed 342 LRYGB cases. Primary LRYGB represented 82 % (282/342). Average BMI 48 kg/m(2) (range was 35-92) and females represented 76 % (261/342). Our clinical leak rate was 3/342 (0.88 %) in LRYGB (0.4 % in primary and 3.3 % in revisional LRYGB). IOE showed a positive air leak test in six LRYGB cases (1.75 %). We were able to achieve a negative leak test after re-enforcement in 5/6 (83 %) cases, and all those patients had no clinical leak. The patient with persistent air leak test had a clinical leak after surgery. IOE was negative in 336 LRYGB cases and we had two clinical leaks in this group (0.59 %). Our stenosis rate at the gastrojejunostomy was 3/342 (0.88 %). The positive predictive value (PPV) of the performing IOE to detect leaks in LRYGB was 75 % while the negative predictive value was 99.5 %.
conclusionsRoutine IOE has led to a change in the operative strategy and could be one reason for our low leak and stenosis in laparoscopic Roux-en-Y gastric bypass.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.