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Complication of Bariatric Surgery

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Textbook of Emergency General Surgery

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Abstract

Obesity places a significant burden on health system resources and costs. Bariatric surgery, which is the most effective treatment for morbid obesity, is performed with increasing frequency. It is usually performed in the center of excellence where the perioperative complications are treated and the risk of failure to rescue is minimal. With the increase in outpatient and tourist medicine, bariatric surgery patients can present to any emergency department with early and late bariatric complications. This chapter will describe the common bariatric complications postcommon bariatric procedures, which emergency department physicians may encounter. It will also highlight complications that necessitate urgent intervention, including surgical intervention, versus complications that can be treated conservatively with a later referral to an experienced bariatric surgeon for further assessment.

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Further Reading

  • Colquitt JL, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014:8.

    Google Scholar 

  • Mechanick JI, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract. 2013;19(2):337–72.

    Article  PubMed  PubMed Central  Google Scholar 

  • Di Lorenzo N, et al. Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP. Surg Endosc. 2020;34(6):2332–58.

    Article  PubMed  PubMed Central  Google Scholar 

  • Magouliotis DE, Tasiopoulou VS, Tzovaras G. One anastomosis gastric bypass versus Roux-en-Y gastric bypass for morbid obesity: an updated meta-analysis. Obes Surg. 2019;29(9):2721–30.

    Article  PubMed  Google Scholar 

  • Kim J, et al. ASMBS position statement on prevention, detection, and treatment of gastrointestinal leak after gastric bypass and sleeve gastrectomy, including the roles of imaging, surgical exploration, and nonoperative management. Surg Obes Relat Dis. 2015;11(4):739–48.

    Article  PubMed  Google Scholar 

  • Arterburn DE, et al. Benefits and risks of bariatric surgery in adults: a review. JAMA. 2020;324(9):879–87.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Emek Medical Center and the Technion—Israel Institute of Technology, Afula, Israel

    Doron Kopelman

  2. General Surgery B, Emek Medical Center, Afula, Israel

    Uri Kaplan

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  1. Doron Kopelman
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  2. Uri Kaplan
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Correspondence to Doron Kopelman .

Editor information

Editors and Affiliations

  1. General, Emergency and Trauma Surgery Dept., Pisa University Hospital, Pisa, Italy

    Federico Coccolini

  2. General and Emergency Surgery Dept., Bufalini Hospital, Cesena, Italy

    Fausto Catena

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Kopelman, D., Kaplan, U. (2023). Complication of Bariatric Surgery. In: Coccolini, F., Catena, F. (eds) Textbook of Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-22599-4_92

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  • DOI: https://doi.org/10.1007/978-3-031-22599-4_92

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-22599-4

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