BACKGROUND: Recent national efforts have focused on improving @entity1 safety in surgical procedures including examining adverse events. An adverse event in laparoscopic Roux-en-Y gastric bypass (LRYGBP) which has not received much scrutiny involves @entity532 during gastric pouch formation. METHODS: Retrospective review was conducted of all LRYGBPs (n=727) performed by 5 surgeons over 5 years at 2 institutions. Cases with intraoperative orogastric tube (OGT) related complications (n=9) were identified. RESULTS: 9 @entity1 (1.2%) had preventable orogastric tube-related complications. Mean @entity1 demographics were as follows: age 47 years, female 56%, pre-op BMI 52 kg/m(2), co-morbidities 3.5 and mortality 0%. 7 of 9 @entity1 ' cases were complicated by stapling of an orogastric tube during gastric pouch formation. The remaining 2 @entity1 had complications involving suturing of the Levacuator tube during gastrojejunostomy formation. All complications required gastric pouch or anastomotic revision. 2 @entity1 required conversion to an open procedure, 2 required re-operation for @entity834 , and 1 had @entity1576 and prolonged hospital stay. CONCLUSION: @entity532 can occur during laparoscopic RYGBP, but are seldom reported and can be associated with significant morbidity. Treatment options are dependent upon the situation. More importantly, prevention strategies must include constant communication with the anesthesiologist and removal or manipulation of an OGT prior to stapling or suturing, use of large bore OGTs for increased visual or tactile recognition, retraction of the OGT proximal to the @entity254 during gastrojejunal construction and employing alternatives to esophageal temperature probes (i.e. Foley temperature probes).

XXXX in laparoscopic Roux-en-Y gastric bypass.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leak'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity532 :: ('MESH:D003925', 'Disease') :: ['orogastric tube complications', 'Orogastric tube complications'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory failure']
@entity532 :: (MESH:D003925,Disease) :: ['Orogastric tube complications']
