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Chronic Gastric Dilation-Surgical Management.

Guillermo Duza1,2, Mariano Palermo1,2,3, Edgardo Serra3,4

  • 1School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|September 17, 2021
PubMed
Summary

Chronic gastric dilation after Roux-en-Y gastric bypass (RYGB) is a serious complication. A combined laparoscopic and percutaneous gastrostomy approach effectively diagnosed and treated this condition in a clinical case.

Keywords:
RYGBbariatric surgerygastric dilationlaparoscopic surgery

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Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Surgical Complications

Background:

  • Chronic dilation of the gastric remnant is a rare but serious complication following Roux-en-Y gastric bypass (RYGB).
  • Exaggerated distension of the gastric remnant necessitates prompt diagnosis and effective management.

Purpose of the Study:

  • To present a clinical case of chronic gastric remnant dilation after RYGB.
  • To illustrate the successful laparoscopic surgical resolution of this complication.

Main Methods:

  • Diagnosis was achieved through clinical suspicion and computed tomography (CT) scan.
  • Treatment involved a combined percutaneous laparoscopic approach for decompressive gastrostomy.

Main Results:

  • A 67-year-old patient who underwent RYGB presented with chronic gastric remnant dilation.
  • Laparoscopic biopsy and a laparoscopic-assisted percutaneous gastrostomy were successfully performed.

Conclusions:

  • The combined percutaneous laparoscopic approach is a viable option for diagnosing and treating chronic gastric dilations of unknown origin.
  • This minimally invasive technique allows for both discovery and treatment of underlying causes.