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18-11-2016 | Metabolic surgery | Book chapter | Article

3. Late Complications of Bariatric Procedures

Authors: Marina Kurian, M.D., Collin Creange, M.D.

Publisher: Springer International Publishing

Abstract

This chapter focuses on common complications that occur in bariatric surgery >30 days after initial operation. The four procedures written about are the laparoscopic adjustable gastric band (LAGB), the Roux-en-y gastric bypass (RYGB), the sleeve gastrectomy (SG), and the biliopancreatic diversion with duodenal switch (BPD/DS). Issues encountered include equipment failures, infections, intestinal obstructions, and nutritional deficiencies. Presentation, diagnosis, and treatment are discussed for the various complications.
Literature
1.
Ponce J, Fromm R, Paynter J. Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilation. Surg Obes Relat Dis. 2006;2:627–31.CrossRefPubMed
2.
Parikh MS, Fielding GA, Ren CJ. U.S. Experience with 749 laparoscopic adjustable gastric bands: intermediate outcomes. Surg Endosc. 2005;19:1631–5.CrossRefPubMed
3.
Ponce J, Paynter S, Fromm R. Laparoscopic adjustable gastric banding: 1,014 consecutive cases. J Am Coll Surg. 2005;201:529–35.CrossRefPubMed
4.
Spivak H, Rubin M. Laparoscopic management of lap-band slippage. Obes Surg. 2003;13:116–20.CrossRefPubMed
5.
Hellmuth B. Gastric erosion following adjustable gastric banding. In: The SAGES manual- a practical guide to bariatric surgery. New York: Springer; 2008. p. 227–38.
6.
Abu-Abeid S, Keidar A, Gavert N, et al. The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc. 2003;17(6):861–3.CrossRefPubMed
7.
Blero D, Eisendrath P, Vandermeeren A, et al. Endoscopic removal of dysfunctioning bands or rings after restrictive bariatric procedures. Gastrointest Endosc. 2010;71(3):468–74.CrossRefPubMed
8.
Arias E, Radulescu M, Stiegeler R, et al. Diagnosis and treatment of megaesophagus after adjustable gastric banding for morbid obesity. Surg Obes Relat Dis. 2009;5(2):156–9.CrossRefPubMed
9.
Fielding GA. Should the lap band be removed to treat Pseudoachalasia? Gastroenterology & Hepatology. 2013;9(7):471–3.
10.
Allen J, Lagardere A. Laparoscopic adjustable gastric banding complications. In: Minimally invasive bariatric surgery. New York: Springer; 2008. p. 205–12.
11.
Perez A, Demaria E. Intestinal obstruction after laparoscopic gastric bypass. In: The SAGES manual- a practical guide to bariatric surgery. New York: Springer; 2008. p. 205–8.
12.
Barba CA, Butensky MS, Lorenzo M, Newman R. Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass. Surg Endosc. 2003;17:416–20.CrossRefPubMed
13.
Iannuccilli JD, et al. Sensitivity and specificity of eight CT signs in the preoperative diagnosis of internal mesenteric hernia following Roux-en-Y gastric bypass surgery. Clin Radiol. 2009;64(4):373–80.CrossRefPubMed
14.
Rasmussen JJ, Fuller W, Ali MR. Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients. Surg Endosc. 2007;21(7):1090–4.CrossRefPubMed
15.
Patel RA, Brolin RE, Gandhi A. Revisional operations for marginal ulcer after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2009;5(3):317–22.CrossRefPubMed
16.
Kaidar-Person O, Person B, Szomstein S, et al. Nutritional deficiencies in morbidly obese patients: a new form of malnutrition? Part A: vitamins. Obes Surg. 2008;18(7):870–6.CrossRefPubMed
17.
Saif T, Strain GW, Dakin G, Gagner M, et al. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery. Surg Obes Relat Dis. 2012;8(5):542–7.CrossRefPubMed
18.
Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248(5):714–20.PubMed
19.
Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol. 2007;6(5):442–55.CrossRefPubMed
20.
Owens M, Barry M, Janjua AZ, et al. A systematic review of laparoscopic port site hernias in gastrointestinal surgery. Surgeon. 2011;9(4):218–24.CrossRefPubMed
21.
Bertolotto M, Gianetta E, Rollandi GA, et al. Imaging of patients with pancreaticobiliary diversion for obesity: post-operative anatomy and findings in small bowel obstruction. Br J Radiol. 1996;69:708–16.CrossRefPubMed
22.
Slater GH, Ren CJ, Siegel N, et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg. 2004;8(1):48–55.CrossRefPubMed
23.
Bloomberg RD, Fleishman A, Nalle JE, et al. Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg. 2005;15(2):145–54.CrossRefPubMed
24.
Dolan K, Hatzifotis M, Newbury L, et al. A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg. 2004;240(1):51–6.CrossRefPubMedPubMedCentral

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