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Endoscopic Management of Gastrojejunostomy Strictures: One Institution's Approach

机译:胃空肠吻合口狭窄的内窥镜管理:一所机构的方法

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摘要

Patients with gastrojejunostomy strictures following Roux-en-Y gastric bypass can present with pain, nausea, dysphagia, and nutritional deficiencies. In our experience, most strictures can be treated with a combination of endoscopy and medical therapy, without the need for surgical revision. The ability to characterize the acuity of strictures as well as its morphology can guide subsequent therapy. Follow-up therapy after initial presentation is critical to avoid development of symptom chronicity, which can be the most difficult aspect to treat for both clinician and patient. Smoking and nonsteroidal anti-inflammatory use continue to be the main contributors of this condition. The management of these issues requires patience, astute follow-up, and a systematic approach, which has been outlined.
机译:Roux-en-Y胃旁路术后胃空肠吻合口狭窄的患者可能会出现疼痛,恶心,吞咽困难和营养不足。根据我们的经验,大多数狭窄可以通过内窥镜检查和药物治疗相结合来进行,而无需进行手术矫正。表征狭窄敏锐度及其形态的能力可以指导后续治疗。初次就诊后的后续治疗对于避免症状慢性发展至关重要,这对于临床医生和患者而言都是最困难的方面。吸烟和非甾体类抗炎药继续是该病的主要诱因。处理这些问题需要耐心,敏锐的后续行动和系统的方法,已概述。

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