Endoscopic management of post-bariatric surgery complications

• 作者: Dvir Froylich Gautam Sharma Ivy N Haskins John Rodriguez Julietta Chang Kevin El-Hayek Matthew Kroh Mena Boules
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: BARIATRIC SURGERY Weight loss SURGERY BARIATRIC COMPLICATIONS ENDOSCOPY BARIATRICS
• 年，卷（期）: 2016,（17）
• 页码范围: 591-599
• 页数: 9页
• 分类号: R

摘要

Understanding the technical constructs of bariatric surgery is important to the treating endoscopist to maximize effective endoluminal therapy. Post-operative complication rates vary widely based on the complication of interest, and have been reported to be as high as 68% following adjustable gastric banding. Similarly, there is a wide range of presenting symptoms for post-operative bariatric complications, including abdominal pain, nausea and vomiting, dysphagia, gastrointestinal hemorrhage,and weight regain, all of which may provoke an endoscopic assessment. Bleeding and anastomotic leak are considered to be early (< 30 d) complications, whereas strictures, marginal ulcers, band erosions, and weight loss failure or weight recidivism are typically considered late (> 30 d) complications. Treatment of complications in the immediate post-operative period may require unique considerations. Endoluminal therapies serve as adjuncts to surgical and radiographic procedures. This review aims to summarize the spectrum and efficacy of endoscopic management of post-operative bariatric complications.