Endoscopic Dilation of Bariatric RNY Anastomotic Strictures: a Systematic Review and Meta-analysis.
Publication/Presentation Date
12-1-2018
Abstract
Gastrojejunostomy anastomotic strictures are a complication of Roux-en-Y gastric bypass surgery without an established treatment guideline. A systematic review and meta-analysis were performed to determine the safety and efficacy of endoscopic dilation in their management. PubMed, Web of Science, and Cochrane Central (1994-2017) were searched. Data was analyzed with random effects meta-analysis and mixed effects meta-regression. Twenty-one observational studies (896 patients) were included. The stricture rate for laparoscopic patients was 6% (95% CI, 5-9%). Only 38% (95% CI, 30-47%) required greater than one dilation. Symptom improvement occurred in 97% (95% CI, 94-98%). The complication rate was 4% (95% CI, 3-6%). Endoscopic dilation of GJA strictures is safe, effective, and sustaining. This study can guide endoscopists in the treatment of a common bariatric surgical complication.
Volume
28
Issue
12
First Page
4053
Last Page
4063
ISSN
1708-0428
Published In/Presented At
Baumann, A. J., Mramba, L. K., Hawkins, R. B., Carpenter, A. M., Fleisher, M. S., Ayzengart, A. L., & Estores, D. S., Jr (2018). Endoscopic Dilation of Bariatric RNY Anastomotic Strictures: a Systematic Review and Meta-analysis. Obesity surgery, 28(12), 4053–4063. https://doi.org/10.1007/s11695-018-3491-6
Disciplines
Medicine and Health Sciences
PubMedID
30244332
Department(s)
Fellows and Residents
Document Type
Article