Anastomosis Remodeling

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Bariatric surgery is the most effective treatment option for obese patients as it provides significant and sustainable weight loss. Most often bariatric surgery will involve reducing the size of the stomach by placing sutures or staples and creating a new anastomosis, or connection, between the stomach and the intestines while bypassing a section of the gastrointestinal tract. Despite excellent outcomes from bariatric surgery, anastomotic stenosis, marginal ulcers, and anastomotic leakage may develop which require remodeling of the anastomosis. To learn more about the remodeling process and how it works, connect with a GI physician at GI Alliance. 

Anastomotic stenosis is the narrowing of the new connection between the stomach and the intestine. It is also known as an anastomotic stricture. It may be caused due to scarring, inadequate blood supply to the area, and certain types of staples. Stenosis usually occurs 3 to 4 weeks after bariatric surgery. Smoking or the use of nonsteroidal anti-inflammatory medication and aspirin increases your risk of developing stenosis. You are generally a good candidate for this procedure if you’ve experienced the following symptoms:

  • Trouble eating certain foods
  • Difficulty swallowing
  • A feeling of fullness in the upper and middle abdomen
  • Nausea and vomiting

For additional information on how this treatment can help you, contact your local GI Alliance to schedule an appointment with your GI physician.

The stenosis can be treated endoscopically using a special balloon. The endoscope is passed to the area of the stenosis and the balloon is then inflated stretching the opening back to its normal size. In some cases, surgical revision may be required to open the stricture.

A marginal ulcer at the anastomosis presents as a superficial erosion. You may have a sensation of pain and discomfort when food enters the stomach. Marginal ulcers can be treated with antacids and sucralfate liquid which forms a protective coating over the ulcer. In severe cases, the ulcer can bleed and perforate which will require emergency surgical correction.

An anastomotic leak is a severe complication with high morbidity rates and may require a lengthy hospital stay for treatment. It occurs due to the breakdown of the anastomosis. If the leak is detected within five days of the bariatric surgery, the primary treatment involves suturing the defect. In case a leak has been detected more than five days following the surgery, the treatment is operative drainage with gastrostomy tube placement. Schedule to have your anastomosis remodeling done by experienced gastroenterologists by connecting with your local GI Alliance.

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Let the experienced gastrointestinal specialists at GI Alliance help you along your journey. Their experience and knowledge will help you find the solution that fits well with your health needs. Schedule an appointment today to get started.

From the moment I walked in the door at 7:30 a.m. to the time I left to go home, I had a 5-star experience with Dr. Seetharam and his team. My first interaction at the Endoscopy Center was with the two receptionists, both of whom were warm and welcoming. They both put my anxiety at ease with their smiles. Next up was the team that took my vitals and inserted my IV. Again a terrific experience - both of these team members were very personable and any fears I had dissipated right away. The team inside the Endoscopy Room similarly displayed the same level of warmth and compassion as the team members that I previously interacted with - it is clear that all team members at the Center receive the highest level of patient care training. My last (but not least!) interaction was with Dr. Seetharam. He has one of the best bedside manners of any doctors I have ever interacted with. Again, like his other team members, he exudes warmth and compassion. Thank you to the Scottsdale Endoscopy Center for a 5-Star Experience!

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Dr Vinson is a great doctor. He actually listens so he can provide the solution

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I really liked Dr. Piesman and I am glad that I was referred to him by another doctor. Dr. Piesman got my endoscopy done before I left town on a trip. The thing I liked the best was that he respected my thoughts on my health, even if he may not have agreed. My only complaint was that I felt rushed in my initial appointment and forgot a few other things I wanted to tell him. Other than that, I am very satisfied and look forward to discussing other aspects of my health with him.

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I have been a patient of Dr. Rau's for many years. She is the ABSOLUTE BEST!!!! She is always concerned and NEVER rushes you through your appointment. She listens and caringly gives you her advice. I recommend her to the world! Just love her! Her staff is very friendly also!

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