Endoscopic suture removal at gastrojejunal anastomosis after Roux-en-Y gastric bypass to prevent marginal ulceration.

@article{Frezza2007EndoscopicSR,
  title={Endoscopic suture removal at gastrojejunal anastomosis after Roux-en-Y gastric bypass to prevent marginal ulceration.},
  author={Eldo Ermenegildo Frezza and Haleigh Herbert and Ronny Ford and Mitchell Wachtel},
  journal={Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery},
  year={2007},
  volume={3 6},
  pages={
          619-22
        }
}
BACKGROUND After Roux-en-Y gastric bypass (RYGB) surgery, marginal ulcers develop in 3-23% of patients. Marginal ulcers can occur secondary to the use of nonabsorbable sutures to create the gastrojejunostomy. The suture can elicit a foreign body reaction that exposes it to the gastric lumen, irritating the mucosa. Surgical removal is mandated when medical therapy fails to resolve matters. Because endoscopic removal would be less invasive than laparotomy, a technique for the endoscopic removal… CONTINUE READING
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