Abstract
The postoperative diagnosis and management of complications related to bariatric surgery requires a high degree of clinical suspicion in conjunction with swift implementation of diagnostic and therapeutic strategies. The most common medical complications related to bariatric surgery include venous thromboembolic events, cardiac complications, and nutritional deficiencies. These have all been observed in bariatric patients regardless of the type of surgery. The most common surgical complication related to the gastric band is band slippage, which requires take back to the operating room. The most common surgical complication related to the sleeve gastrectomy is staple line leak. Marginal ulcer, anastomotic leak, and bowel obstruction are all possible complications related to the gastric bypass. Lastly, critical care management of the bariatric patient requires particular attention to the cardiac and pulmonary effects of obesity toward respective physiologic functioning.
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References
Nguyen NT, et al. Outcomes of bariatric surgery performed at accredited vs nonaccredited centers. J Am Coll Surg. 2012;215:467–74.
Young MT, et al. A decade of analysis of trends and outcomes in baraitric surgery in medicare beneficiaries. J Am Coll Surg. 2014;219:480–8.
Telem DA, et al. The effect of national hospital accreditation in bariatric surgery on perioperative outcomes and long-term mortality. Surg Obes Relat Dis. 2015;11:749–57.
Dimick JB, et al. Identifying high-quality baraitric surgery centers: hospital volume or risk-adjusted outcomes? J Am Coll Surg. 2009;209:702–6.
Johnston, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 2015;157:752–63.
Tao W, et al. Casues and risk factors for mortality within 1 year after obesity surgery in a population-based cohort study. Surg Obes Relat Dis. 2015;11:399–405.
Bahl V, et al. A validation study of retrospetive venous thromboembolsm risk scoring method. Ann Surg. 2010;251:344–50.
Rowland SP, et al. Inferior vena cava filters for prevention of venous thromboembolism in obese patients undergoing bariatric surgery. Ann Surg. 2015;261:35–45.
The American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on prophylactic measures to reduce the risk of venous thromboembolism in bariatric surgery patients. Surg Obes Relat Dis. 2013;9:493–7.
Lakis MA, et al. Portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy and laparoscopic roux-en-y gastric bypass: a 36-case series. Surg Endosc. 2017;31:1005–11.
Campanile FC, et al. Acute complications after laparoscopic bariatric procedures: update for the general surgeon. Langenbeck’s Arch Surg. 2013;398:669–86.
Ghosh S, et al. A narrative of intraoperative staple line leaks and bleeds during bariatric surgery. Obes Surg. 2016;26:1601–6.
Brolin RE, et al. Impact of complete mesenteric closure on small bowel obstruction and internal mesenteric hernia after laparoscopic roux-en-y gastric bypass. Surg Obes Relat Dis. 2013;9:850–5.
Facchiano E, et al. Laparoscopic management of internal Hernia after Roux-En-y Gastric Bypass. Obes Surg. 2016;26:1363–5.
Green J, et al. Acute small bowel obstruction due to a large intraluminal clot after laparoscopic Roux-en-Y gastric bypass. JSCR. 2016;8:1–3.
Birnbaum DJ, et al. Intussusception involving Roux-en-Y limb following gastric bypass. J Gastroinest Surg. 2017;21:415–6.
Finks JS, et al. Predicting risk for serious complications with bariatric surgery. Ann Surg. 2011;254:633–40.
Alpert MA, et al. Effects of obesity on cardiovascular hemodynamics, cardiac morphology, and ventricular function. Curr Obes Rep. 2016;5:424–34.
Ortiz VE, et al. Obesity: physiologic changes and implications for preoperative management. BMC Anesth. 2015;15:97.
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Bellistri, JP., Moran-Atkin, E. (2018). Emergencies in Bariatric Surgery. In: Camacho, D., Zundel, N. (eds) Complications in Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-75841-1_3
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DOI: https://doi.org/10.1007/978-3-319-75841-1_3
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