Laparoscopic revision of gastrogastric stricture with a transoral circular stapler.
Most anastomotic strictures can be effectively managed by endoscopic dilations. Patients with severe strictures refractory to balloon dilations may require surgical revision. Revision of a strictured anastomosis (open or laparoscopic) is often technically demanding because of the severity of adhesion formation and difficulty in correctly identifying the anatomy. We discuss a laparoscopic method of safely revising an anastomotic stricture with a circular stapler.
Parikh
Manish
M
Laparoscopic and Bariatric Surgery, Joan and Sanford I. Weill College of Medicine of Cornell University, New York-Presbyterian Hospital, New York, New York, USA.
Gagner
Michel
M
D000328:Adult; D000714:Anastomosis, Surgical; D002404:Catheterization; D002921:Cicatrix / Q000601:surgery; D003251:Constriction, Pathologic; D005260:Female; D015390:Gastric Bypass; D005774:Gastrostomy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012086:Reoperation; D013528:Surgical Staplers; D000267:Tissue Adhesions / Q000601:surgery; D017211:Treatment Failure