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Review
. 2004 Apr 20;6(2):15.

Gastrointestinal complications of obesity surgery

John E Pandolfino  1 , Brintha Krishnamoorthy, Thomas J Lee
Affiliations
Review

Gastrointestinal complications of obesity surgery

John E Pandolfino et al. MedGenMed. .
No abstract available

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Figures

Figure 1
Figure 1
Vertical banded gastroplasty (VBG). A vertical pouch is created by stapling the front of the stomach to the back wall, below the esophagogastric junction. The end of the newly created gastric pouch is constricted with either a 1-cm diameter polypropylene band (VBG) or a 1-cm silastic ring (vertical ring-banded gastroplasty).
Figure 2
Figure 2
Adjustable laparoscopic banding. A band is laparoscopically placed around the upper stomach to create a restrictive pouch. The balloon in the band is connected to a port that is placed subcutaneously and can be accessed to inflate or deflate the balloon, consequently changing the size of the band circumference.
Figure 3
Figure 3
Roux-en-Y gastric bypass (RYGBP) surgery. A small pouch is created by either stapling or transecting the stomach. The pouch is then connected to and empties into the Roux limb of the jejunum, which is approximately 50–100 cm in length.
Figure 4
Figure 4
(A) Biliopancreatic diversion (BPD) A limited gastrectomy is created, and the transected ileum is anastomosed to the gastric pouch. (B) BPD with duodenal switch. A sleeve gastrectomy is created to maintain the pylorus and avoid anastomotic complications. Similar to classic BPD, the transected, distal small bowel is connected to the stomach via a small part of the first potion of the duodenum.
Figure 5
Figure 5
Anastomotic ulcers: (A) gastric and (B) jejunal or marginal ulcer.
Figure 6
Figure 6
Anastomotic stricture: (A) Gastrografin swallow, (B) anastomotic stricture with a diameter of approximately 5 mm, and (C) dilation with a through-the-scope balloon dilator.
See this image and copyright information in PMC

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