DOI: 10.36347/sjams.2019.v07i09.020

Pages: 3007-3010

Aim: Our study aimed to evaluate the patients underwent Roux en-Y gastric bypass due to morbid obesity in our clinic regardless of whether they were symptomatic or not. Upper- gastrointestinal endoscopy was preferred for this evaluation. Materıal and methods: We retrospectively reviewed the results of endoscopic examination of the patients underwent Roux en-Y gastric bypass due to morbid obesity in our clinic between October 2016 and July 2018. Initial Body Mass Index, Body Mass Index during endoscopy, endoscopy timing , the length of gastric remnant, endoscopic findings, re-weight gain status, weight loss measurements were evaluated. Results: Gastrogastric fistula was detected in one of 43 patients included the study. This fistula was revised laparoscopically. Two of the patients had anostomosis ulcer. Anastomosis ulcers were treated with medical treatment and thus complications likely to be in the future were prevented. The incidence of fistula was 2.3% and similar that in the literature. Anastomosis ulcer ratio was 4.6%. Conclusıons: Performing gastroscopy after gastric bypass may be helpful in the diagnosis of fistulas without symptoms or diagnosis of a marginal ulcer may cause a fistula. Further multicentric studies including much more patients are needed to determine the true incidence.