Major complications of bariatric surgery: endoscopy as first-line treatment

Nature Reviews. Gastroenterology & Hepatology
Pierre Eisendrath, Jacques Deviere

Abstract

Leaks are the most frequent early postoperative complication in the two most popular bariatric procedures, Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy. Multimodal therapy based on self-expandable stent insertion 'to cover' the defect is the most widely documented technique to date with a reported success rate >80%. Additional experimental techniques 'to close' the defect or 'to drain' the paradigestive cavity have been reported with encouraging results. The role of endoscopy in early postoperative bleeding is limited to management of bleeds arising from fresh sutures and the diagnosis of chronic sources of bleeding such as marginal ulcer after RYGB. Post-RYGB stricture is a more delayed complication than leaks and the role of endoscopic dilation as a first-line treatment in this indication is well documented. Ring and band placement are outdated procedures for obesity treatment, but might still be an indication for endoscopic removal, a technique which does not compromise further surgery, if needed.

References

Dec 31, 1998·Gastrointestinal Endoscopy·J M DumonceauJ Devière
Sep 10, 2003·Archives of Surgery·Yale D PodnosNinh T Nguyen
Apr 7, 2005·Gastrointestinal Endoscopy·Lawrence C HookeyJacques Devière
Jun 28, 2005·Obesity Surgery·Paulo SakaiShinichi Ishioka
Aug 3, 2005·The Surgical Clinics of North America·Edward H Livingston
Mar 28, 2006·Gastrointestinal Endoscopy·Benjamin F MerrifieldChristopher C Thompson
Aug 24, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Albert T Spaw, John D Husted
Aug 24, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Lester CarrodeguasRaul Rosenthal
Oct 4, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Alberto SalinasHarry Salinas
Dec 2, 2006·Gastrointestinal Endoscopy·Laura A AdamHenning Gerke
Dec 26, 2006·Journal of the American College of Surgeons·Rodrigo GonzalezMichel M Murr
Jan 2, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Royd FukumotoJulio Teixeira
Apr 25, 2007·Gastrointestinal Endoscopy·Kevin J PeiferSreenivasa Jonnalagadda
Jun 5, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Christopher KowalskiRobert E Brolin
Jun 6, 2007·Obesity Surgery·Ezio LattuadaGiancarlo Roviaro
Aug 24, 2007·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study
Sep 27, 2007·Obesity Surgery·Carlos SerraJuan José Chisbert
Oct 19, 2007·The American Journal of Gastroenterology·Laith H JamilMichael C Duffy
Nov 21, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Eldo E FrezzaMitchell S Wachtel
Feb 26, 2008·Gastrointestinal Endoscopy·Glòria Fernández-EsparrachJosep Llach
Feb 26, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Salman Al-SabahNicolas Christou
Mar 19, 2008·Surgical Endoscopy·Andrew UklejaRaul Rosenthal
Apr 9, 2008·Obesity Surgery·Carlos BallestaMagdiel Gonzales
Apr 15, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Evren DurakMarc Bessler
May 13, 2008·Journal of the American College of Surgeons·Steve EubanksJames S Scott
Jul 17, 2008·Obesity Surgery·Charles BakhosGeoffrey Nadzam
Aug 21, 2008·Journal of Gastroenterology and Hepatology·Theodossis S PapavramidisSpiros T Papavramidis
Dec 4, 2008·Digestive Diseases and Sciences·Abraham MathewRobert N Cooney
Jul 28, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stacy A BrethauerPhilip R Schauer
Jul 28, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Michel GagnerRoss D Crosby

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Citations

Dec 23, 2016·Clinical Endoscopy·Moon Kyung Joo
Aug 18, 2018·Obesity Surgery·Rena C MoonMuhammad A Jawad
Dec 20, 2018·Obesity Surgery·Tomasz RogulaPhilip Schauer
Jul 12, 2017·Obesity Surgery·Christine HillVivek Kumbhari
Nov 11, 2018·The American Journal of Gastroenterology·Eduardo Rodrigues-PintoMouen A Khashab
Nov 26, 2020·Journal of Clinical Gastroenterology·Mihajlo GjeorgjievskiMichel Kahaleh
Feb 11, 2021·Reviews on Recent Clinical Trials·Carmelo LuigianoPierluigi Consolo

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