Gastrointestinal bleeding can be a complication of any gastrointestinal surgery. However, in bariatric surgery, and Roux-en-Y gastric bypass surgery in particular, gastrointestinal bleeding can cause symptoms in the postoperative period that are similar to other common postoperative complications (pulmonary embolism, leak/sepsis). The incidence of postoperative GIH after laparoscopic GBP ranges from 0.8% to 9.4%. In a recent series of 155 patients who underwent laparoscopic Roux-en-Y gastric bypass, the incidence of GIH was 3.2%.
Prompt recognition of bleeding, as well as prompt Identification of site, allows the bariatric surgeon to tailor the management of the patient and avoid unnecessary tests and procedures.
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McMahon, R.L. (2008). Gastric Bypass: Gastrointestinal Bleeding. In: Nguyen, N.T., De Maria, E.J., Ikramuddin, S., Hutter, M.M. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69171-8_23
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