Gastrogastric Fistulae Following Gastric Bypass Surgery—Clinical Recognition and Treatment

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Gastrogastric fistula (GGF) formation is an uncommon but well-recognized complication following Roux-en-Y gastric bypass for morbid obesity. Patients with GGF may be asymptomatic or have nonspecific problems of abdominal pain, weight regain, or ulcer formation at the gastrojejunal anastomosis. Maintaining a high index of suspicion is the key to diagnosis. Flexible upper endoscopy and upper gastrointestinal fluoroscopy are complementary imaging modalities for securing the diagnosis of GGF. Surgical repair of GGF is generally the most definitive management but is invasive and has the potential for morbidity. Endoscopic methods of closure have gained favor in recent years due to their noninvasive nature despite the lack of long-term data regarding their success. Novel methods of endoscopic closure, including endoscopic suturing, more closely resemble the surgical paradigm and will likely supplant traditional surgical methods for the management of GGF.

Original languageEnglish (US)
Article number405
JournalCurrent gastroenterology reports
Volume16
Issue number9
DOIs
StatePublished - Jan 1 2014

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Gastric Bypass
Fistula
Therapeutics
Gastrointestinal Endoscopy
Morbid Obesity
Fluoroscopy
Abdominal Pain
Ulcer
Morbidity
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

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abstract = "Gastrogastric fistula (GGF) formation is an uncommon but well-recognized complication following Roux-en-Y gastric bypass for morbid obesity. Patients with GGF may be asymptomatic or have nonspecific problems of abdominal pain, weight regain, or ulcer formation at the gastrojejunal anastomosis. Maintaining a high index of suspicion is the key to diagnosis. Flexible upper endoscopy and upper gastrointestinal fluoroscopy are complementary imaging modalities for securing the diagnosis of GGF. Surgical repair of GGF is generally the most definitive management but is invasive and has the potential for morbidity. Endoscopic methods of closure have gained favor in recent years due to their noninvasive nature despite the lack of long-term data regarding their success. Novel methods of endoscopic closure, including endoscopic suturing, more closely resemble the surgical paradigm and will likely supplant traditional surgical methods for the management of GGF.",
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Gastrogastric Fistulae Following Gastric Bypass Surgery—Clinical Recognition and Treatment. / Pauli, Eric; Beshir, Hiba; Mathew, Abraham.

In: Current gastroenterology reports, Vol. 16, No. 9, 405, 01.01.2014.

Research output: Contribution to journalArticle

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