ArticleSurgical endoscopy2018
Endoscopic management of post-laparoscopic sleeve gastrectomy stenosis.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Endoscopic management of gastric stenosis after sleeve gastrectomy: a systematic review and single-arm meta-analysis.Surgical endoscopy · 2025Pooled it
- Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines.World journal of emergency surgery : WJES · 2022Guideline
- Longitudinal Evolution of Gastric Sleeve Anatomy and its Association with Esophagitis Progression Following Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2026Article
- Fluoroscopic parameters in the diagnosis and quantitative assessment of gastric sleeve stenosis.Surgical endoscopy · 2026Article
- Early 60-Day Morbidity after Sleeve Gastrectomy Versus One-Anastomosis Gastric Bypass: A Propensity-Matched Single-Center Cohort of 2,382 Patients.Obesity surgery · 2026Article
- 3dct Conduit and Oesophageal Metrics, a Valuable Method to Diagnose Post Sleeve Gastrectomy Abnormalities.Obesity surgery · 2024Article
- The Efficacy and Safety of Endoscopic Balloon Dilatation in the Treatment of Functional Post-Sleeve-Gastrectomy Stenosis.Medicina (Kaunas, Lithuania) · 2024Article
- Mid-gastric peroral endoscopic myotomy in the treatment of post-sleeve gastrectomy gastric tube twist: Four cases.Endoscopy international open · 2024Article
- Endoscopic severity of gastric sleeve stenosis can be quantified using impedance planimetry.Surgical endoscopy · 2023Article
- Piriform Fossa Injury during Calibration Tube Insertion in Laparoscopic Sleeve Gastrectomy.Journal of clinical medicine · 2023Article
- Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy.Journal of clinical medicine · 2023Review
- Pneumatic Balloon Dilation of Gastric Sleeve Stenosis Is Not Associated with Weight Regain.Obesity surgery · 2022Article
- Diagnosis and Management of Postoperative Complications After Sleeve Gastrectomy.Journal of metabolic and bariatric surgery · 2022Review
- Quantifying Healthcare Utilization and Delay in the Treatment of Gastric Stenosis Following Sleeve Gastrectomy.Obesity surgery · 2022Article
- Endoscopic Management of Sleeve Stenosis.Obesity surgery · 2021Article
- Gastric Per-Oral Endoscopic Myotomy for Treatment of Chronic Proximal Staple Line Leak Precipitated by Downstream Stenosis.Obesity surgery · 2021Article
- Article
- Endoscopic Dilation of Post-Sleeve Gastrectomy Stenosis: Long-Term Efficacy and Safety Results.Obesity surgery · 2021Article
- Gastric Stenosis After Sleeve Gastrectomy: an Algorithm for Management.Obesity surgery · 2020Article
- Normal and Abnormal Postoperative Imaging Findings after Gastric Oncologic and Bariatric Surgery.Korean journal of radiology · 2020Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic sleeve gastrectomy (LSG) is the most popular bariatric surgery worldwide. Gastric sleeve stenosis is the most common postoperative complication, occurring in up to 3.9% of the cases. Current treatment options include endoscopic treatments, such as dilatations and stent placement as well as surgical revisions such as laparoscopic Roux-en-Y gastric bypass (LRYGB), wedge gastrectomy or seromyotomy.
methodsA retrospective analysis of our prospectively collected therapeutical endoscopy database was performed between January 2014 and February 2017. We included all cases of axial deviation or stenosis post LSG, which were treated endoscopically. Patients with concomitant sleeve leaks were excluded. Endoscopic interventions were performed under general anaesthesia and fluoroscopic assistance when needed. Sequential treatment with CRE balloons, achalasia balloons (30-40 mm) and fully covered stent placement for refractory cases was performed.
resultsA total of 1332 LSG were performed. Overall, 27/1332 patients (2%) developed a gastric stenosis. All patients presented an axial deviation at the incisura angularis and 26% had a concomitant proximal stenosis. Successful endoscopic treatments were performed in 56% (15/27) of patients, 73% of the successful patients underwent a single dilatation procedure. All successful cases had a maximum of 3 interventions. The unsuccessful cases (44%) underwent LRYGB. Mean time between the primary surgery and the diagnosis of the stenosis was 10.3 months. Mean follow-up after the endoscopic treatment was 11.5 months. A stent migration was the only complication (3.7%) recorded.
conclusionsEndoscopic treatment appears to be effective in 56% of patients with post-LSG stenosis. Only one session of achalasia balloon dilatation is necessary in 73% of successful cases. Pneumatic balloon dilatation seems to be a safe procedure in this patient population. Surgical revision into a LRYGB offers good outcomes in patients that have failed three consecutive endoscopic treatments.
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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.