Bariatric articleEndoscopy after bariatric surgery (with videos)
Section snippets
Conclusion
As the obesity epidemic persists, the number and variety of surgical interventions continue to increase. As a result, GI complications are being seen with greater frequency, and clinicians must be well informed about the endoscopic management of the postbariatric surgery patient. Additionally, the development of new endoscopic devices, such as advanced suturing systems and biological agents, will likely broaden endoscopic applications, thereby reducing the need for surgical revision. These new
References (70)
- et al.
Complications after laparoscopic sleeve gastrectomy
Surg Obes Relat Dis
(2008) - et al.
Perioperative outcomes and risk factors in gastric surgery for morbid obesity: A 9-year experience
Surgery
(2006) - et al.
Effect of location and speed of diagnosis on anastomotic leak outcomes in 3828 gastric bypass cases
J Gastrointest Surg
(2007) - et al.
Outcomes with the adjustable gastric band
Surgery
(2008) - et al.
Silastic silicone rubber band migration: an unusual complication resolved by endoscopy
Gastrointest Endosc
(2008) - et al.
Stomal ulcer after gastric bypass
J Am Coll Surg
(1997) - et al.
What to expect in the excluded stomach mucosa after vertical banded Roux-en-Y gastric bypass for morbid obesity
J Gastrointest Surg
(2007) - et al.
Endoscopic suture removal at gastrojejunal anastomosis after Roux-en-Y gastric bypass to prevent marginal ulceration
Surg Obes Relat Dis
(2007) - et al.
Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass
Surg Obes Relat Dis
(2006) - et al.
More about stomal stenosis after surgery for morbid obesity: the endoscope as a dilator
Gastrointest Endosc
(1986)
Successful endoscopic management of gastrojejunal anastomotic strictures after Roux-en-Y gastric bypass
Gastrointest Endosc
Pouch outlet obstruction following vertical ring gastroplasty for morbid obesity
Am J Surg
Endoscopic removal of eroded bands in vertical banded gastroplasty: a novel use of endoscopic scissors (with video)
Gastrointest Endosc
Duodenogastric and gastroesophageal bile reflux
J Chir (Paris)
Changes in gallbladder bile composition following gallstone formation and weight reduction
Gastroenterology
Double-balloon enteroscopy to facilitate retrograde PEG placement as access for therapeutic ERCP in patients with long-limb gastric bypass
Gastrointest Endosc
Use of double-balloon enteroscopy to perform PEG in the excluded stomach after Roux-en-Y gastric bypass
Gastrointest Endosc
Laparoscopic transgastric endoscopy after Roux-en-Y gastric bypass
Surg Obes Relat Dis
Prevention of gallstone formation in morbidly obese patients undergoing rapid weight loss: results of a randomized controlled pilot study
J Surg Res
A multicenter, placebo-controlled, randomized, double-blind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss
Am J Surg
ERCP in patients with long-limb Roux-en-Y gastrojejunostomy and intact papilla
Gastrointest Endosc
Endoscopic evaluation of the defunctionalized stomach by using ShapeLock technology (with video)
Gastrointest Endosc
Endoscopic repair of gastric leaks after Roux-en-Y gastric bypass: a less invasive approach
Gastrointest Endosc
Laparoscopic Roux-en-Y gastric bypass versus laparoscopic vertical banded gastroplasty: results of a 2-year follow-up study
Surg Endosc
Four hundred fifty consecutive laparoscopic Roux-en-Y gastric bypasses with no mortality and declining leak rates and lengths of stay in a bariatric training program
J Am Coll Surg
Complications after laparoscopic gastric bypass: a review of 3464 cases
Arch Surg
Laparoscopic gastric banding: beyond the learning curve
Surg Endosc
Ten years experience with laparoscopic adjustable gastric banding
Obes Surg
Gastrogastric fistulas: a complication of divided gastric bypass surgery
Ann Surg
Management of gastrogastric fistulas after divided Roux-en-Y gastric bypass surgery for morbid obesity: analysis of 1,292 consecutive patients and review of literature
Surg Obes Relat Dis
Band erosion: incidence, etiology, management and outcome after banded vertical gastric bypass
Obes Surg
Diagnosis of transmesocolic internal hernia as a complication of retrocolic gastric bypass: CT imaging criteria
Am J Radiol
Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass
Arch Surg
Three-year follow-up study of retrocolic versus antecolic laparoscopic Roux-en-Y gastric bypass
Obes Surg
Predictors, treatment, and outcomes of gastrojejunostomy stricture after gastric bypass for morbid obesity
Obes Surg
Cited by (23)
Case report about the management of a late Gastro-Gastric Fistula after Laparoscopic Gastric Bypass, with the finding of an unexpected foreign body
2020, International Journal of Surgery Case ReportsCitation Excerpt :Patients with Gastro-Gastric Fistula may be asymptomatic and may present with nonspecific symptoms such as weight regain, epigastric pain, nausea, vomiting, sometimes anemia as in our case, and even bleeding [2–5]. An upper endoscopy and upper GI contrast study should be performed to confirm diagnosis [8]. Management of Gastro-Gastric Fistulas depends on the symptoms, size, location and its classification (according to Ribeiro-Parenti et al. type I or II) [9].
The cooperation between endoscopists and surgeons in treating complications of bariatric surgery
2014, Best Practice and Research: Clinical GastroenterologyCitation Excerpt :Late marginal ulcers 12–48 month after RYBG are reported in a small proportion (1%) of patients [83]. Marginal ulcers develop in 0.6–16% [84]. Csendes et al described the findings on routine endoscopy after RYGB operations and found at 1 month following surgery marginal ulcers in 4.1% of patients after open and 12.3% after laparoscopic surgery, with 28% of ulcers occurring in the absence of symptoms [18].
Endoscopic management of complications after gastrointestinal weight loss surgery
2013, Clinical Gastroenterology and HepatologyCitation Excerpt :Stomal stenosis is present if the standard 9.5-mm endoscope cannot traverse the anastomosis. Treatment of stomal stenosis can be performed with a through-the-scope balloon, Savary dilator, or electrosurgical incision.53–55 Balloon dilation is the most commonly used technique and is successful in more than 90% of cases.
Endoscopic creation of a gastrogastric conduit for reversal of gastric bypass
2011, Gastrointestinal EndoscopyEndoscopic Management of Post–Bariatric Surgery Complications
2011, Clinical Gastrointestinal Endoscopy, Second EditionEmerging Endoluminal Bariatric Techniques
2011, Clinical Gastrointestinal Endoscopy, Second Edition
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.