Society for Surgery of the Alimentary Tract
Back to 2006 Program and Abstracts
Predicting Stricture in Post- Gastric Bypass Patients
Jennefer A. Kieran, Amy J. Koler, Melissa M. Davis, Robin P. Blackstone; Surgery, Scottsdale Bariatric Center, Scottsdale, AZ

Background: Gastrojejunostomy stricture after gastric bypass occurs 3-27% of the time. Technique can influence this rate, but we questioned whether there were patient factors that contribute to stricture rates. Methods: Retrospective review of prospective database was performed. From 11/01 to 11/05, 1352 patients underwent laparoscopic gastric bypass at a single institution. The technique of transoral EEA 21mm stapler was utilized in all patients. Linear regression was performed on all data points to identify risk factors for postoperative stricture. Results: 76 patients developed postoperative stricture (5.6%), all of which were treated by endoscopic dilation. Of all the preoperative comorbidities, only Gastroesophageal Reflux Disease was statistically significant. (p<0.05) Postoperative complications including intraabdominal hematoma and abscess were significant. (p<0.05) Excess weight loss was similar in both groups at one year. (83.1% stricture vs. 82.6% non-stricture). Conclusions: Neither BMI, male gender, nor major preoperative comorbidities are indicators of postoperative stricture rate in gastric bypass patients.


Back to 2006 Program and Abstracts

Society for Surgery of the Alimentary Tract
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