Routine Postoperative Upper Gastroesophageal Imaging is Unnecessary after Laparoscopic Roux-en-Y Gastric Bypass

Author:

Bertucci William1,White Stephen1,Yadegar John1,Patel Kaushal1,Han Soo Hwa1,Blocker Oliver1,Frickel Deborah1,Kadell Barbara1,Mehran Amir1,Gracia Carlos1,Dutson Erik1

Affiliation:

1. From the Section for Minimally Invasive and Bariatric Surgery, UCLA Department of Surgery, Los Angeles, California

Abstract

Routine early postoperative upper gastroesophageal imaging (UGI) is often used in laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures to confirm anastomotic patency and to exclude leaks. The aim of our study was to assess the usefulness of this practice. From January 2003 to November 2004, 322 LRYGB cases were performed using linear staplers for the gastrojejunostomy and jejuno-jejunostomy anastomoses. As part of our protocol, all patients received a Gastrograffin® (Mallinkrodt, Inc., St Louis, Missouri) UGI on postoperative Day 1. The same radiological techniques were used and the same radiological team reviewed all films. Abnormal films were identified. In addition, patient demographics, time to discharge, and complications were collected and analyzed in a prospective database. There were no anastomotic leaks or obstructions. However, 42 of 322 (13%) studies demonstrated delayed gastric emptying. There were no statistically significant differences between patients with normal and delayed UGI studies. Routine UGI studies did not contribute significantly to patient care, and its routine use was subsequently abandoned.

Publisher

SAGE Publications

Subject

General Medicine

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