Checklist #16 Gastro-jejunal Anastomotic Ulcers After Roux-en-Y Gastric Bypass

by Raul J. Rosenthal, MD, FACS, FASMBS; Samuel Szomstein, MD, FACS, FASMBS; and  Emanuele Lo Menzo, MD, PhD, FACS, FASMBS

Column Editor

Raul J. Rosenthal, MD, FACS, FASMBS
Clinical Editor, Bariatric Times, Professor of Surgery and Chairman, Department of General Surgery; Director, The Bariatric and Metabolic Institute; Director, General Surgery Residency Program and Fellowship in Minimally Invasive and Bariatric Surgery, Cleveland Clinic Florida, Weston, Florida

Column Co-editors

Samuel Szomstein, MD, FACS, FASMBS
Associate Director of the Bariatric Institute and Section of Minimally Invasive Surgery at the Cleveland Clinic in Weston, Florida, and Clinical Associate Professor of Surgery, Florida International University

E. Lo Menzo MD PhD FACS FASMBS
Staff Surgeon, The Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic Florida, Weston, Florida.

Welcome to “Checklists in Bariatric Surgery.” This column’s aim is to help bariatric surgeons quickly review the reasons for potential problems when caring for bariatric patients.

This month’s Checklist focuses on gastro-jejunal anastomotic ulcers after Roux-en-Y gastric bypass. The incidence of marginal ulceration at the gastro-jejunostomy has been reported between 1 and 16 percent. Concomitant anastomotic strictures have been described in up to 27 percent of the cases.

We present this 16th installment of “Checklists” based on peer-reviewed publications, which might help our readers communicate better and treat patients expeditiously. We hope you clip and save this convenient checklist and find it useful as a reference tool in your everyday practice.

Please stay tuned for more checklists in upcoming issues of Bariatric Times.

View Checklist #16 HERE.

References
1. Court I, Zissman P, Rosenthal RJ. Diagnosis and treatment of Zollinger Ellison syndrome in a morbidly obese patient after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2010;6(6):714–717.
2.  Patel S, Szomstein S, Rosenthal RJ. Reasons and outcomes of reoperative bariatric surgery for failed and complicated procedures (excluding adjustable gastric banding). Obes Surg. 2011;21(8):1209–1219.
3. Carrodeguas L, Szomstein S, Zundel N, Lo Menzo E, Rosenthal R. Gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass surgery analysis of 1291 patients. Surg Obes Relat Dis. 2006;2(2):92–97.

FUNDING: No funding was provided.

DISCLOSURES: Dr. Rosenthal receives educational grants from Covidien, Baxter, Karl Storz, W.L. Gore, and Ethicon Endo-Surgery. He is on the advisory board of MST. Drs. Szomstein and Lo Menzo report no conflicts of interest relevant to the content of this article.

Category: Checklists in Bariatric Surgery, Past Articles