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Post-Bariatric Splenic Complications; Diagnosis and Treatment. A Systematic Review

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Abstract

This systematic review intends to evaluate incidence and symptoms of post-bariatric splenic complications as well as best available modalities establishing the diagnosis and management protocols. A systematic literature search was performed in electronic database until March 2022. A total of 41 articles were included on the subject of splenic complications following bariatric/metabolic surgery (BMS). Splenic abscess was the most common splenic complications (44.2%) after BMS and leak was the most common reported etiology of the splenic abscess. Fever and abdominal pain were the most common presenting symptom in all splenic complications and CT scan was the most common diagnostic modality. Splenic complications after BMS are relatively rare but may lead to dangerous consequences. Prompt diagnosis and treatment can prevent potentially life-threatening outcomes.

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Author information

Authors and Affiliations

  1. Minimally Invasive Surgery Research Center, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

    Ali Mousavimaleki, Mahsa Taherzadeh & Seyed Amin Setaredan

  2. Taunton and Somerset Foundation Trust, Taunton, UK

    Bassem Amr

  3. Endometriosis Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

    Samaneh Rokhgireh

  4. Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Tehran, Iran

    Mohammad Kermansaravi

  5. Center of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat-e Rasool Hospital, Tehran, Iran

    Mohammad Kermansaravi

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  1. Ali Mousavimaleki
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  2. Bassem Amr
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Correspondence to Mohammad Kermansaravi.

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Key Points

• Splenic abscess is the most common splenic complications after BMS.

• Leak is the most common reported etiology of the splenic abscess.

• Splenic artery pseudoaneurysm is the most serious complication of BMS.

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Mousavimaleki, A., Amr, B., Taherzadeh, M. et al. Post-Bariatric Splenic Complications; Diagnosis and Treatment. A Systematic Review. OBES SURG 32, 3125–3137 (2022). https://doi.org/10.1007/s11695-022-06190-x

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  • DOI: https://doi.org/10.1007/s11695-022-06190-x

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