Early Routine Upper Gastrointestinal Contrast Study Following Bariatric Surgery: an Indispensable Postoperative Care or a Medicolegal Heritage?
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Concerns still exist regarding the role of early routine upper gastrointestinal contrast study (UGI) after bariatric procedures for detection of early complications. We reviewed our database to identify patients who underwent laparoscopic primary or redo surgery (previously placement of adjustable gastric banding), between January 2012 and December 2017. All the patients underwent UGI within 48 h after surgery. Among 1094 patients, early UGI was abnormal in 5 patients: in 4 cases a leak (one false positive) and in one case stenosis (one true positive) were suspected. In this clinical setting, five leaks were observed and required surgical re-exploration: 3 correctly identified and 2 not detected at UGI. Overall, 3 patients developed anastomotic stenosis. Our data suggest that early routine UGI after bariatric procedures has limited utility.
KeywordsUpper gastrointestinal contrast study Bariatric surgery Medicolegal issue Personalized medicine Leakage Stenosis Complications
• Study conception and design: Francesco Pennestrì, Luca Sessa
• Acquisition of data: Pierpaolo Gallucci, Luigi Ciccoritti, Piero Giustacchini, Pietro Princi
• Analysis and interpretation of data: Brunella Barbaro, Maria Gabriella Brizi
• Drafting of manuscript: Francesco Pennestrì, Francesca Prioli
• Critical revision of manuscript: Rocco Bellantone, Marco Raffaelli
Compliance with Ethical Standard
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.
Informed consent was obtained from all individual participants included in the study.
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