@article{ALES5330,
author = {Faiz Tuma and Abdul Waheed and Zhamak Khorgami and Leena Khaitan},
title = {The inaccuracy of the endoscopic anastomotic measurement techniques},
journal = {Annals of Laparoscopic and Endoscopic Surgery},
volume = {4},
number = {0},
year = {2019},
keywords = {},
abstract = {Background: Roux-en-Y gastric bypass (RYGB) is a reliable treatment for obesity, and most of the people do lose weight after the surgery. However, there are risks for the failure to lose weight or weight regain. One of the primary reasons for weight regain after the RYGB is the size of the anastomosis at the gastrojejunostomy (GJ). There is no standard endoscopic technique for the measurement of this anastomosis. Consequently, many treatment plans may lead to ineffective intervention. This study was performed to identify the most accurate method to measure the luminal diameter of GJ endoscopically. This may allow better management of the patients with weight regain after the RYGB.
Methods: Ten subjects were asked to endoscopically measure a ring of known diameter at the end of a plastic tube representing the esophagus using four commonly used endoscopic measuring techniques and a double channel endoscope. Subjects used (I) visual estimation (VE); (II) instrument reference (IR) to biopsy forceps; (III) esophageal dilating balloon (EDB); (IV) ruler made from an endoscopic retrograde cholangiopancreatography (ERCP) guide wire tip. The five models were presented in random order. The data was collected and saved in the institutional database.
Results: A total of 10 participants, 9 surgeons and 1 gastroenterologist, participated in the study. Endoscopic experience was >1,000 scopes for 4 subjects; 250–500 for 3, and },
issn = {2518-6973}, url = {https://ales.amegroups.org/article/view/5330}
}