| Roux-en-Y gastric bypass for clinically severe obesity: normal appearance and spectrum of complications at imaging. | |
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MedLine Citation:
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PMID: 15650038 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Surgery currently appears to be the most effective method to curtail the effects of morbid obesity and all of its comorbid conditions. Although the ideal procedure has yet to be devised, Roux-en-Y gastric bypass has proved to be successful for many morbidly obese patients pursuing weight loss and increased health. As the technical aspects of this procedure become less cumbersome and the patient population increases, it is vital for radiologists to be proficient in the specific evaluation of these patients, in order to provide optimal care. Complications can be minimized, managed more efficiently, or prevented with prompt evaluation by the radiologist. It is important to appreciate the patency of both the gastrojejunostomy and the jejunojejunostomy, as well as adequate progression of contrast material before the patient is discharged (preferably 24-72 hours after surgery). Follow-up complications include anastomotic leak, staple-line disruption, stomal stenosis, occlusion of the Roux limb, small-bowel obstruction due to adhesions or internal hernia, and obstruction of the enteroenterostomy leading to acute gastric distention. These complications may be life threatening, since clinical symptoms are often inconclusive. To achieve optimal outcome, therefore, conventional radiographic and computed tomographic studies should not be delayed. |
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Authors:
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Elmar M Merkle; Peter T Hallowell; Cathleen Crouse; Dean A Nakamoto; Thomas A Stellato |
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Publication Detail:
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Type: Journal Article; Review Date: 2005-01-13 |
Journal Detail:
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Title: Radiology Volume: 234 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-02-28 Completed Date: 2005-04-12 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: United States |
Other Details:
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Languages: eng Pagination: 674-83 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Duke University Medical Center, Erwin Rd, Duke North, Rm 1417, Durham, NC 27710, USA. elmar.merkle@duke.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Roux-en-Y* Contrast Media Gastric Bypass / methods* Humans Obesity, Morbid / surgery* Postoperative Complications / radiography* Radiography, Interventional Stomach / radiography* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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