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Incidence and outcome of anastomotic stricture after laparoscopic gastric
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bypass.Anastomotic stricture is a frequent complication after Roux-en-Y gastric bypass (GBP).
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We revie data on 29 patients in whom anastomotic strictures developed after laparoscopic GBP. Anastomotic
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stricture occurred significantly more frequently with the use of the 21 mm compared to the 25 mm circular stapler (26.8% vs.
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mm) circular stapler was used to create the gastrojejunostomy, time interval between
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the
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primary operation and symptoms, complications of endoscopic balloon dilation, the number of patients with resolution
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of obstructive symptoms, and body weight loss (with or without diet pills). All strictures
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were managed with endoscopic balloon dilation using an 18 mm balloon catheter
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under fluoroscopic
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guidance. We evaluated the frequency of anastomotic stricture following laparoscopic GBP using a 21 mm.
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Main outcome
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measures were the number of anastomotic strictures in patients
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in whom the 21 mm (vs. There were 28 females with a mean
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and a mean body mass index of 48 kg/m(2). A 25
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mm circular
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stapler for construction obese women pictures of the gastrojejunostomy and the safety and efficacy of endoscopic balloon dilation in the management of anastomotic stricture.