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Case Reports
. 2008 Mar;18(3):340-4.
doi: 10.1007/s11695-007-9391-9. Epub 2008 Jan 25.

Laparoscopic repair of a staple-line disruption after an open uncut Roux-en-Y gastric bypass

Atul K Madan  1 , Naveen Dhawan, Craig A Ternovits, David S Tichansky
Affiliations
Case Reports

Laparoscopic repair of a staple-line disruption after an open uncut Roux-en-Y gastric bypass

Atul K Madan et al. Obes Surg. 2008 Mar.

Abstract

The technique of gastric bypass has undergone an evolution over the last 20 years, although it is often individualized based on surgeon preference. Whereas many surgeons divide and separate the gastric pouch from the distal bypassed stomach, some surgeons choose to staple, but not cut and separate the pouch. Staple-line failure resulting in a gastrogastric fistula and weight regain is a worrisome complication. We discuss a case of a patient with an obvious staple-line failure, which resulted in complete weight regain. She underwent laparoscopic repair and was discharged on postoperative day 1. Laparoscopic repair of a staple-line disruption after an open uncut gastric bypass is feasible.

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References

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