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Postoperative Bleeding in the Bariatric Surgery Patient

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The ASMBS Textbook of Bariatric Surgery

Abstract

Bleeding is an uncommon complication in bariatric surgery due to the development of hemostatic agents (i.e., fibrin glue) and the use of staple-line reinforcement products, sophisticated stapling devices and energy sources, and the overall improvement of laparoscopic techniques. The reported incidence ranges between 0 and 4.4 % and varies according to the different procedures performed (gastric bypass, gastric banding, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch). However, bleeding still remains a known complication that can be difficult to diagnose and manage in the bariatric surgery population. Failure to diagnose and manage bleeding in a timely manner can result in a significantly prolonged hospital stay and increased morbidity and mortality. This chapter classifies bleeding, etiologies, and diagnosis and discusses management of bleeding in bariatric surgery patients.

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Author information

Authors and Affiliations

  1. The Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Department of General Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA

    Abraham Fridman DO & Samuel Szomstein MD, FACS, FASMBS

  2. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA

    Raul J. Rosenthal MD, FACS, FASMBS

Authors
  1. Abraham Fridman DO
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  2. Samuel Szomstein MD, FACS, FASMBS
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  3. Raul J. Rosenthal MD, FACS, FASMBS
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Corresponding author

Correspondence to Abraham Fridman DO .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

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Fridman, A., Szomstein, S., Rosenthal, R.J. (2015). Postoperative Bleeding in the Bariatric Surgery Patient. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_21

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  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_21

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

  • eBook Packages: MedicineMedicine (R0)

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