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Laparoscopic Revision of Gastrogastric Stricture With a Transoral Circular Stapler

Laparoscopic and Bariatric Surgery, Joan and Sanford I. Weill College of Medicine of Cornell University, New York-Presbyterian Hospital, New York, New York

Michel Gagner, MD, FRCSC, FACS

Laparoscopic and Bariatric Surgery, Joan and Sanford I. Weill College of Medicine of Cornell University, New York-Presbyterian Hospital, New York, New York, gagnerm{at}aol.com, mig2016{at}med.cornell.edu

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.

Key Words: stricture • surgical revision • circular stapler • gastrogastric • gastrojejunal stenosis • gastric bypass • bariatric surgery • balloon dilation

Surgical Innovation, Vol. 14, No. 3, 225-230 (2007)
DOI: 10.1177/1553350607308306


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