par Himpens, Jacques 
Référence Laparoscopic Sleeve Gastrectomy, Springer International Publishing, page (491-498)
Publication Publié, 2021-01
Référence Laparoscopic Sleeve Gastrectomy, Springer International Publishing, page (491-498)
Publication Publié, 2021-01
Partie d'ouvrage collectif
| Résumé : | A stricture is an organic narrowing of a tubular organ. Its physiologic consequence is a stenosis, a narrowing that influences an organ's function. In case of sleeve gastrectomy, the stomach-initially a distensible balloon shaped organ-is essentially reshaped to a long gastric tube that may be prone to developing a stricture or stenosis. This development is quite rare, but it constitutes a highly symptomatic condition. Frequent symptoms are: gastro-esophageal reflux, dysphagia and vomiting. Treatment modes aim at addressing the stricture directly by techniques including endoscopic pneumatic dilation, stent placement, or, in case of failure, laparoscopic techniques such as seromyotomy, segmental resection, or stricturoplasty. Another approach aims at diverting the flux of nutrients proximal to the stricture which can be obtained by conversion to Roux-en-Y gastric bypass or, as published more recently, one anastomosis gastric bypass. |
