Gastrointestinal complications of bariatric surgery: diagnosis and therapy

The American Journal of the Medical Sciences
Thomas L Abell, Anil Minocha

Abstract

Severe or morbid obesity, with body mass indexes exceeding 35 to 40, are often refractory to all therapies other than surgery. The increasing number of patients undergoing bariatric surgery will result in increasing numbers of patients with gastrointestinal complications. The types of complications vary with type of surgery, whether restrictive, malabsorptive, or both, depending on what anatomical and physiologic changes occur postoperatively. One complication of bariatric surgery (gallstones) is due to weight loss after surgery, not the surgery itself. Based on previous meta-analyses, most of the top 10 complications from bariatric surgery are gastrointestinal: dumping, vitamin/mineral deficiencies, vomiting (and nausea), staple line failure, infection, stenosis (and bowel obstruction), ulceration, bleeding, splenic injury, and perioperative death. Two other gastrointestinal complications of bariatric surgery are indirect consequences of the surgery: bacterial overgrowth and diarrhea. Awareness of the types and frequency of gastrointestinal complications of bariatric surgery allows for timely diagnosis and appropriate therapy. As new surgical, and even endoscopic, procedures to treat obesity are developed, new gastrointestinal...Continue Reading

References

Sep 22, 2000·Annals of Surgery·P R SchauerJ Luketich
Oct 29, 2000·Obesity Surgery·M J Monteforte, C M Turkelson
Nov 27, 2002·Obesity Surgery·Whitney S GoldnerEdward E Mason
Mar 17, 2004·Obesity Surgery·Craig G ChangDavid A Provost
Mar 17, 2004·Obesity Surgery·Ninh T NguyenJeffrey Jim
Mar 17, 2004·Obesity Surgery·Leonardo VillegasDaniel Jones
Aug 6, 2004·Current Opinion in Clinical Nutrition and Metabolic Care·Jacqueline I Alvarez-Leite
Aug 21, 2004·Annals of Surgery·Nicolas V ChristouLloyd D MacLean
Oct 14, 2004·JAMA : the Journal of the American Medical Association·Henry BuchwaldKaren Schoelles
Nov 6, 2004·Obesity Surgery·Ilya PinskAmnon Ovnat
Dec 18, 2004·Obesity Surgery·Ninh T NguyenSamuel E Wilson
Jan 25, 2005·Journal of the American College of Surgeons·Leon SalemDavid R Flum
Apr 2, 2005·Obesity Surgery·Richard D BloombergSubhash Kini

❮ Previous
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Citations

Aug 21, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hans-Ullrich Spiegel, Sebastian Skawran
Jan 20, 2012·Obesity Surgery·Colleen D McDermottDouglass S Hale
Sep 22, 2007·Current Gastroenterology Reports·Mehnaz A Shafi, P Jay Pasricha
Mar 3, 2012·Forensic Science, Medicine, and Pathology·Roger W Byard
Feb 16, 2012·International Journal of Obesity : Journal of the International Association for the Study of Obesity·H E Wilson-PérezR J Seeley
Oct 22, 2008·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Kandelaria M RumillaRicardo V Lloyd
Sep 3, 2009·Nature Reviews. Gastroenterology & Hepatology·Jan TackRaf Bisschops
Jan 1, 2011·BMJ Case Reports·Izabella JanczewskaMarjo Kapraali
May 3, 2012·Endocrine Reviews·Margaret A StefaterRandy J Seeley
Jun 19, 2013·International Journal of Applied & Basic Medical Research·Rajiv Mahajan
Dec 3, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Melissa A KalarchianMichele D Levine
Oct 25, 2011·Expert Review of Gastroenterology & Hepatology·Pietro FamiliariGuido Costamagna
Mar 3, 2009·Expert Opinion on Emerging Drugs·David R Janero, Alexandros Makriyannis
Jan 19, 2016·International Journal of Technology Assessment in Health Care·Silvana Marcia Bruschi KellesSandhi Maria Barreto
Oct 24, 2012·Molecular Aspects of Medicine·Margaret A StefaterThomas H Inge
Mar 15, 2012·The Surgical Clinics of North America·Seon Jones, Addison K May
Nov 22, 2011·Gastroenterology Clinics of North America·W O RohofG E Boeckxstaens
Sep 24, 2015·Digestive Diseases and Sciences·Patrick Berg, Richard McCallum
May 17, 2011·Gastrointestinal Endoscopy Clinics of North America·Michael J Lee, Daniel J Scott
Mar 8, 2011·Gastroenterología y hepatología·Gloria Fernández-EsparrachJosep Llach
Dec 7, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Matthew J MartinJames A Sebesta
Aug 12, 2009·Fertility and Sterility·Zaher O Merhi
Feb 9, 2007·Mayo Clinic Proceedings·Warren G ThompsonJames A Levine
Jan 16, 2008·Physical Medicine and Rehabilitation Clinics of North America·Pariwat Thaisetthawatkul
Feb 13, 2008·Current Problems in Surgery·Deron J Tessier, J Chris Eagon
May 19, 2007·The Medical Clinics of North America·Olga N TuckerRaul J Rosenthal
Nov 25, 2006·Fertility and Sterility·Zaher O Merhi
Sep 3, 2011·The British Journal of Surgery·K HamdanM Chand
Apr 23, 2014·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·E DelooseJ Tack
Jul 2, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F SeyfriedC Jurowich
Feb 11, 2015·The Canadian Journal of Cardiology·Marie-Ève PichéPaul Poirier
Oct 18, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·A P van BeekJ Tack
May 21, 2009·JPEN. Journal of Parenteral and Enteral Nutrition·Krishnan Sriram, Vassyl A Lonchyna
Sep 30, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·José Sampaio-NetoGraciany Gasperin
Sep 30, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Yasmin da Silva Chaves, Afrânio Côgo Destefani
Aug 20, 2010·Arquivos De Gastroenterologia·Arthur Belarmino GarridoClaudio Antonio Rufino Gomes
Apr 27, 2018·Alimentary Pharmacology & Therapeutics·J TackA P Van Beek
Jan 6, 2007·Histopathology·S R Owens, J K Greenson
Oct 2, 2007·Current Opinion in Gastroenterology·Calvin W LeeWahid Y Wassef
Jun 20, 2019·Experimental Biology and Medicine·Alexandra R HimelBernadette E Grayson
Feb 8, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Amr MadyanAyman Elshobaky
Jun 26, 2020·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Joong Hyun ParkMi-Ri Kang

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