TY  - BOOK
AU  - Brebbia, John S
AU  - Koch, Timothy R
AU  - Nath, Anand
AU  - Shope, Timothy R
AU  - Tran, Tung
AU  - Yewale, Sayali
TI  - Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention
SN  - 1007-9327
PY  - 2016///
KW  - *Deglutition Disorders/et [Etiology]
KW  - *Deglutition Disorders/th [Therapy]
KW  - *Endoscopy, Gastrointestinal/mt [Methods]
KW  - *Gastrectomy/ae [Adverse Effects]
KW  - *Obesity/su [Surgery]
KW  - Adult
KW  - Aged
KW  - Chi-Square Distribution
KW  - Constriction, Pathologic
KW  - Deglutition Disorders/di [Diagnosis]
KW  - Dilatation
KW  - Endoscopy, Gastrointestinal/ae [Adverse Effects]
KW  - Female
KW  - Humans
KW  - Hydrostatic Pressure
KW  - Logistic Models
KW  - Male
KW  - Middle Aged
KW  - Multivariate Analysis
KW  - Obesity/di [Diagnosis]
KW  - Odds Ratio
KW  - Retrospective Studies
KW  - Risk Factors
KW  - Treatment Outcome
KW  - Young Adult=520  \\
KW  - AIM: To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG)
KW  - MedStar Washington Hospital Center
KW  - Medicine
KW  - Medicine/Gastroenterology
KW  - Medicine/General Internal Medicine
KW  - Journal Article
N2  - CONCLUSION: Narrowing of the gastric sleeve and gastric sleeve stenosis are common after VSG. Endoscopic balloon dilatations of the gastric sleeve resolves dysphagia in 69% of patients; METHODS: VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single institution study of consecutive patients who underwent sleeve gastrectomy from 2013 to 2015. Patients with previous bariatric procedures were excluded. Narrowing of a gastric sleeve includes: inability to pass a 9.6 mm gastroscope due to stenosis or sharp angulation or spiral hindering its passage; RESULTS: Of 400 consecutive patients, 352 are included; the prevalence of dysphagia is 22.7%; 33 patients (9.3%) have narrowing of the sleeve with 25 (7.1%) having sharp angulation or a spiral while 8 (2.3%) have a stenosis. All 33 patients underwent balloon dilatation of the gastric sleeve and dysphagia resolved in 13 patients (39%); 10 patients (30%) noted resolution of dysphagia after two additional dilatations. In a multivariate model, medical conditions associated with post-operative dysphagia include diabetes mellitus, symptoms of esophageal reflux, a low whole blood thiamine level, hypothyroidism, use of non-steroidal anti-inflammatory drugs, and use of opioids
UR  - https://dx.doi.org/10.3748/wjg.v22.i47.10371
ER  -