Prevention and Management of Gastro-Jejunostomy Anastomotic Strictures

A stricture of the gastrojejunal(GJ) anastomosis is one the most common complication after laparoscopic roux-en-Y gastric bypass(LRYGB), ranging from 2.9 to 23 % across numerous studies [1, 2]. An anastomotic stricture has to be suspected if the patient has frequent nausea, emesis and/or dysphagia with liquids or meal. A stricture can be confirmed by the inability to pass the gastroscope (10-mm) through the gastrojejunal anastomosis. It usually occurs 1 month after the surgery and can be classified as early or late (within or longer than 30 days after operation, respectively [3].