What is a pancreatic diversion?
Biliopancreatic Diversion (BPD) is bariatric surgery for the treatment of obesity. It involves removal of part of the stomach to restrict how much food the stomach can hold, along with diverting the GI tract beyond some of the small intestines so fewer calories are absorbed.
What is Gastrogastric fistula?
Background: Gastrogastric fistula is a communication between the proximal gastric pouch and the distal gastric remnant, rarely described in the realm of bariatric procedures. The aim of this study was to review the existing literature about this topic and to demonstrate its laparoscopic treatment.
What is a marginal ulcer?
A marginal ulcer, or stomal ulceration, refers to the development of mucosal erosion at the gastrojejunal anastomosis, typically on the jejunal side. Marginal ulcers develop most often after gastric bypass procedures where the gastric remnant or distal stomach is stapled but not divided.
How long does it take to heal from duodenal switch surgery?
Most patients that undergo the lengthy procedure can expect anywhere from three to four weeks for recovery, but 4-6 weeks is the optimal healing time (for open surgery types). For those who had duodenal switch surgery laparoscopically, recovery time will be just 1 to 2 weeks (while the new diet will occur for 6 weeks).
Is duodenal switch Safe?
Duodenal switch is a safe operation for patients who have failed other bariatric operations.
How is gastrojejunostomy performed?
Gastrojejunostomy can be done via either an open or a laparoscopic approach. Percutaneous gastrojejunostomy may be performed, in which a tube is placed through the abdominal wall into the stomach and then through the duodenum into the jejunum.
What causes Gastrogastric fistula?
Gastrogastric fistula is a rare complication of RYGB that can lead to weight regain and marginal ulcer. Etiologies include anastomotic leak, incomplete gastric division, marginal ulcers, distal obstruction, and erosion of foreign body. Endoscopy is diagnostic but its therapeutic efficacy is very low.
Will you lose weight after a Gastrogastric fistula repair?
In patients post-GGF repair, weight loss resumed, with a total weight loss of 6.0±3.9 kg (p=0.006) over 4.1±4.0 months (range 2-13 months). BMI decreased significantly from 36.9±7.6 kg/m2 to 34.6±7.2 kg/m2 (p=0.008).
How long does a marginal ulcer take to heal?
The median time for ulcer healing was 3 months in those receiving PPIs emptied from capsules compared with approximately 11 months in those receiving intact capsules.
How do you treat a marginal ulcer?
Marginal ulcers are diagnosed on upper GI endoscopy and treated with therapeutic dose of PPIs and cytoprotective agents such as sucralfate. It is important to reduce the harming factors in order to promote healing. In case of refractory ulceration, revisional surgery is indicated.