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Gastrojejunal Stenosis of Gastric Bypass in Laparoscopic Bariatric Surgery: Report of a Case
Julian Andres Tamayo Serrato*, Isabel Mateo Gavira, Francisco Javier Vilchez Lopez, Laura Larran Escandón, Manual Aguilar Diosdado, Maria Angeles Mayo Ossorio and Jose Pacheco GarcíaDepartment of Endocrinology & Nutrition, Puerta del Mar University Hospital, Cadiz, Spain
- *Corresponding Author:
- Isabel Mateo Gavira, MD, PhD
Department of Endocrinology & Nutrition
Puerta del Mar University Hospital, Cadiz, Spain
Tel: +34956003095
Fax: +34 956004600
E-mail: isamateogavira@gmail.com
Received date: March 25, 2015; Accepted date: March 30, 2015; Published date: April 10, 2015
Citation: Serrato JAT, Gavira IM, Lopez FJV, Escandón LL, Diosdado MA, et al. (2015) Gastrojejunal Stenosis of Gastric Bypass in Laparoscopic Bariatric Surgery: Report of a Case. J Gastrointest Dig Syst 5:275. doi:10.4172/2161-069X.1000275
Copyright: © 2015 Serrato JAT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Abstract
Obesity is a chronic multifactorial disease, which results from the interaction between the genotype and the environment. It has become a public health problem across the world, with significant physical and psychological complications that contribute to the deterioration of the quality and expectancy of life. Gastric bypass is the most effective treatment option for the management of morbid obesity. Surgical treatment of obesity could reduce excess body weight by 50%-70% when compared to behavioral and pharmacological therapies. However, Gastrojejunal stricture (GYS) is the most common complication after laparoscopic gastric bypass, being that the pathophysiological mechanism involved not well understood. Presentation of Case: A 37-year-old man presented with progressive oral intolerance, incoercible vomiting, and high weight lost 2 months after Roux-en-Y gastric bypass (RYGBP). A severe stenosis was detected, pneumatic dilation made, and enteral nutrition required for several weeks.
