Diagnostic laparoscopy for chronic abdominal pain after gastric bypass.

Diagnostic laparoscopy for chronic abdominal pain after gastric bypass. Research Abstract Details 

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Diagnostic laparoscopy for chronic abdominal pain after gastric bypass. Abstract Text:

BACKGROUND: To evaluate, in an observational study, the utility of diagnostic laparoscopy as a tool to evaluate patients with abdominal pain of unknown etiology after gastric bypass surgery. METHODS: A retrospective analysis was performed of data from patients who had undergone laparoscopy for diagnosis or treatment of abdominal pain. This study included 13 patients with negative preoperative radiographic and/or endoscopic findings. RESULTS: A total of 13 patients who had undergone Roux-en-Y gastric bypass underwent diagnostic laparoscopy for abdominal pain. The findings included internal hernia (4), adhesions (3), ventral hernia (2), partial small bowel obstruction (1), and chronic cholecystitis (1). There were 2 negative laparoscopies, while a diagnosis was made in 85%. After an average follow-up of 3.2 months, 7 of 11 patients had unresolved abdominal pain and 4 patients experienced pain resolution (2 patients were lost to follow-up). CONCLUSION: The results from this small retrospective study suggest that significant pathologic findings can be identified in most patients who have negative preoperative evaluation findings; however, the efficacy of diagnostic laparoscopy to eliminate pain in this patient population requires additional study. Despite the potential complications, we believe that diagnostic laparoscopy has a role in the diagnosis and treatment of chronic abdominal pain after gastric bypass.

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Diagnostic laparoscopy for chronic abdominal pain after gastric bypass. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Surgery for obesity and related diseases : officia

VOLUME: 4

Page Numbers: 394-8

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ISSN: 1550-7289

DAY: 14

MONTH: 04

YEAR: 2008

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LANGUAGE: eng

NlmUniqueID: 101233161

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Grant and Affiliation Information for Diagnostic laparoscopy for chronic abdominal pain after gastric bypass.

AFFILIATION: Cleveland Clinic, Bariatric and Metabolic Institute, Cleveland, Ohio.

Country: United States

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MEDLINETA: Surg Obes Relat Dis

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