Is gastrojejunostomy a bariatric surgery?

Is gastrojejunostomy a bariatric surgery?

Abstract. Background: The laparoscopic Roux-en-Y gastric bypass (LRYGB) has been considered a reference procedure in the bariatric surgery. The linear-stapled gastrojejunostomy (GJ) has proved to be safe and effective, but its optimal size referred to postoperative weight loss remains poorly understood.

What is a marginal ulcer after gastric bypass?

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 do you treat a marginal ulcer?

The mainstay of treatment of marginal ulcers is high-dose PPI [12, 48]. Inhibition of gastric acid secretion is successful in treating 68–100% of ulcers and those refractory usually have anatomic abnormalities, such as a stricture, a gastro-gastric fistula, a foreign body, or a large pouch [6, 7, 16, 17, 24].

How are ulcers treated after gastric bypass?

If an ulcer is found, your doctor may prescribe a proton-pump inhibitor (anti-acid medication) that you could remain on for an extended period of time. Other medication might include Carafate. It coats the lining of the stomach to aid in healing and protecting it from acid.

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.

How is marginal ulcer diagnosed?

Marginal ulcers have been reported at rates ranging from 0.6% to as high as 16%. This common and costly complication is best diagnosed with endoscopy. Such ulcers can lead to perforation (Fig. 7) or fistula formation (Fig.

What is gastrojejunostomy procedure?

(GAS-troh-JEH-joo-NOS-toh-mee) A surgical procedure that connects part of the stomach to the jejunum (the middle part of the small intestine). This allows food and other stomach contents to pass directly from the stomach to the jejunum without passing through the first part of the small intestine called the duodenum.

What causes a marginal ulcer?

Diabetes, smoking, and long gastric pouches were significant risk factors for marginal ulcer formation, suggesting increased acid exposure and mucosal ischemia are both involved in marginal ulcer pathogenesis.

Why is a gastrojejunostomy done?

Gastrojejunostomy may be done during surgery to remove part of the stomach that has cancer blocking the opening into the small intestine. It may also be done as part of weight-loss surgery.

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