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DOI:10.2214/AJR.05.0160
AJR 2006; 186:1090-1093
© American Roentgen Ray Society

Clinical Observations

Detection of Strictures on Upper Gastrointestinal Tract Radiographic Examinations After Laparoscopic Roux-En-Y Gastric Bypass Surgery: Importance of Projection

Saurabh Jha1, Marc S. Levine1, Stephen E. Rubesin1, Kristoffel Dumon2, Michael L. Kochman3, Igor Laufer1 and Noel N. Williams2

1 Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.
2 Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.
3 Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104.

OBJECTIVE. Our objective was to determine the optimal radiographic projections for the detection of strictures at the gastrojejunal anastomosis after gastric bypass surgery.

CONCLUSION. Steep oblique or lateral spot images routinely should be obtained during upper gastrointestinal radiographic studies after gastric bypass surgery to optimize detection of strictures at the gastrojejunal anastomosis.

Keywords: fluoroscopy • gastric bypass surgery • gastrointestinal radiology • obesity • stomach


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