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dc.contributor.authorBhat, Purnima
dc.contributor.authorKaffes, Arthur John
dc.contributor.authorLassen, Kristoffer
dc.contributor.authorAabakken, Lars
dc.date.accessioned2024-10-14T11:20:08Z
dc.date.available2024-10-14T11:20:08Z
dc.date.issued2024-07-01
dc.description.abstractAs management of upper gastrointestinal malignancies improves, and with popularization of bariatric surgery, endoscopists are likely to meet patients with altered upper gastrointestinal anatomy. Short-term, the surgery can cause complications like bleeding, leaks, and fistulas, and longer-term problems such as intestinal or biliary anastomotic strictures or biliary stones can arise, all necessitating endoscopy. In addition, the usual upper gastrointestinal pathologies can also still occur. These patients pose unique challenges. To proceed, understanding the new layout of the upper gastrointestinal tract is essential. The endoscopist, armed with a clear plan for navigation, can readily diagnose and manage most commonly occurring conditions, such as marginal ulcers and proximal anastomotic strictures with standard endoscopic instruments. With complex reconstructions involving long segments of small bowel, such as Roux-en-Y gastric bypass, utilization of balloon-assisted enteroscopy may be necessary, mandating modification of procedures such as endoscopic retrograde cholangiopancreatography. Successful endoscopic management of patients with altered anatomy will require prior planning and preparation to ensure the appropriate equipment, setting, and skill set is provided.en_US
dc.identifier.citationBhat, Kaffes, Lassen, Aabakken. Upper gastrointestinal endoscopy in the surgically altered patient. Digestive Endoscopy. 2024en_US
dc.identifier.cristinIDFRIDAID 2283451
dc.identifier.doi10.1111/den.14823
dc.identifier.issn0915-5635
dc.identifier.issn1443-1661
dc.identifier.urihttps://hdl.handle.net/10037/35229
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalDigestive Endoscopy
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)en_US
dc.titleUpper gastrointestinal endoscopy in the surgically altered patienten_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)