The role of upper gastrointestinal endoscopy in treating postoperative complications in bariatric surgery.

Journal of Interventional Gastroenterology
Richdeep S GillShahzeer Karmali

Abstract

There are an estimated 500 million obese individuals worldwide. Currently, bariatric surgery has been shown to result in clinically significant weight loss. With increasing demand for bariatric surgery, endoscopic techniques used intra and postoperatively continue to evolve. Endoscopic evaluation of anastomotic integrity following RYGB allows for early detection of anastomotic leaks. Furthermore, endoscopy is a valuable tool to diagnose and treat RYGB postoperative surgical complications such as anastomotic leakage, hemorrhage and stricture formation. Early evidence suggests that endoscopic management of upper gastrointestinal hemorrhage following RYGB is effective. In addition, endoscopic balloon dilatation is able to effectively treat obstruction in the setting of gastrojejunal anastomotic strictures. With successful endoscopic management of these complications, bariatric patients may avoid more invasive surgical procedures.

Citations

Jan 1, 2014·World Journal of Emergency Surgery : WJES·Abdulzahra Hussain, Shamsi El-Hasani
Feb 18, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Po-Chih ChangKirubakaran Malapan
Aug 15, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mahmoud A AmrMartin D Zielinski
Apr 16, 2015·International Surgery·Saleh M AldaqalLeena A Merdad
Mar 7, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Sung Ryol LeeChang Hak Yoo

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