Mo1569 Barrett's Esophagus After Sleeve Gastrectomy for Morbid Obesity: Preliminary Results

GASTROINTESTINAL ENDOSCOPY(2015)

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摘要
patient’s upper GI anatomy was the following: gastric bypass (nZ4), Whipple’s (nZ4), Billroth II (nZ5), Ivor-Lewis (nZ3), gastric sleeve with leak (nZ3), several anastomosis-undefined post-surgical status (nZ2). The technical success was 90%. In two patients transillumination was not obtainable and placement failed. The mean distance of DPEJ was 70 cm (range 45 to 110 cm) past the gastrojejunal anastomosis. The mean procedure time was 35 minutes (range 20-110). There were no major adverse events associated with the procedure. Conclusions: To the best of our knowledge this is the largest study using DPEJ in patients with complex surgically altered upper GI tract anatomy. The novel technique using overtubeand fluoroscopy was efficacious, safe and successful. Future comparative studies are now warranted
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