Magen-Darm- und Verdauungssystem

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Gastrojejunal Stenosis of Gastric Bypass in Laparoscopic Bariatric Surgery: Report of a Case

Julian Andres Tamayo Serrato, Isabel Mateo Gavira, Francisco Javier Vilchez Lopez, Laura Larran Escandón, Manual Aguilar Diosdado, Maria Angeles Mayo Ossorio,  Jose Pacheco García

Obesity is a chronic multifactorial disease, which results from the interaction between the genotype and the environment. It has become a public health problem across the world, with significant physical and psychological complications that contribute to the deterioration of the quality and expectancy of life. Gastric bypass is the most effective treatment option for the management of morbid obesity. Surgical treatment of obesity could reduce excess body weight by 50%-70% when compared to behavioral and pharmacological therapies. However, Gastrojejunal stricture (GYS) is the most common complication after laparoscopic gastric bypass, being that the pathophysiological mechanism involved not well understood. Presentation of Case: A 37-year-old man presented with progressive oral intolerance, incoercible vomiting, and high weight lost 2 months after Roux-en-Y gastric bypass (RYGBP). A severe stenosis was detected, pneumatic dilation made, and enteral nutrition required for several weeks.