Hypopharyngeal perforation during laparoscopic Roux-en-Y gastric bypass

Ninh T. Nguyen, Bruce M. Wolfe

Research output: Contribution to journalArticlepeer-review

47 Scopus citations


Laparoscopic Roux-en-Y gastric bypass was recently introduced as an alternative surgical treatment for morbid obesity. The technique involves placement of a 21-mm anvil transorally down to the gastric pouch for creation of the gastroenterostomy anastomosis using an EEA stapler placed transabdominally. Esophageal injury is a theoretical concern with transoral manipulation of the anvil. The authors present a case of hypopharyngeal perforation after an attempted transoral insertion of an EEA anvil. The perforation was treated with neck exploration and drainage. We discuss the mechanism of injury and alternative method for placement of the gastric anvil.

Original languageEnglish (US)
Pages (from-to)64-67
Number of pages4
JournalObesity Surgery
Issue number1
StatePublished - 2000


  • Hypopharyngeal perforation
  • Laparoscopy
  • Morbid obesity
  • Roux-en-Y gastric bypass
  • Surgical complication

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics


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