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Surgery of morbid obesity is associated with significant morbidity, which is considerably increased for reoperative surgery. Over the past two and a half years endoscopic balloon dilation was performed in eight patients for stenosis of gastrojejunostomy following gastric bypass. The technique of dilation, indications, and pitfalls are discussed. The procedure was safe and effective. Patients who had dilation performed successfully avoided surgery entirely in seven of eight cases. Therapy was modified in two other patients based on endoscopy findings. Endoscopy was found to be more reliable and superior to upper gastrointestinal (UGI) series for evaluation of symptoms following gastric bypass procedures. Based on our experience and literature review we propose that endoscopy is the preferred alternative to major reoperative surgery and urge its wider use.
H Rajdeo, and
K Bhuta, and
N B Ackerman
January 2002,
Radiology,
H Rajdeo, and
K Bhuta, and
N B Ackerman
August 1991,
Gastroenterology,
H Rajdeo, and
K Bhuta, and
N B Ackerman
November 1990,
American journal of surgery,
H Rajdeo, and
K Bhuta, and
N B Ackerman
April 2021,
Journal of the Chinese Medical Association : JCMA,
H Rajdeo, and
K Bhuta, and
N B Ackerman
January 2019,
Annals of gastroenterology,
H Rajdeo, and
K Bhuta, and
N B Ackerman
January 2014,
Endoscopy,
H Rajdeo, and
K Bhuta, and
N B Ackerman
October 1996,
Obstetrics and gynecology,
H Rajdeo, and
K Bhuta, and
N B Ackerman
July 1984,
Archives of surgery (Chicago, Ill. : 1960),
H Rajdeo, and
K Bhuta, and
N B Ackerman
June 2020,
World journal of gastrointestinal pharmacology and therapeutics,
H Rajdeo, and
K Bhuta, and
N B Ackerman
December 2010,
Sultan Qaboos University medical journal,
