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Endoscopic Treatment of Complications after Bariatric Surgery

  • Josemberg M. CamposEmail author
  • Patrícia Souza de Paula
  • Almino C. Ramos

Abstract

With increasing incidence of obesity and its related comorbidities, there has been a steep rise in the number of bariatric procedures throughout the world. Clearly, this has resulted in a rise in the number of complications unique to bariatric surgical procedures. Given the fact that almost all current procedures revolve around the esophagus and stomach, there is a push (or need) to attempt resolve these complications endoscopically. Thus technically advanced endoscopic procedures have come into practice to help treat complications related to bariatric surgery. We collectively call this new methodology as ‘bariatric endoscopy.’ This could be considered as an interface between bariatric surgery and advanced therapeutic endoscopy.

Surgical therapy could result in other complications and is therefore being replaced by minimally invasive endoluminal endoscopic procedures, especially in the control of conditions such as infection, fistula, stenosis, food impaction, ring and band erosion, bleeding and choledocholithiasis.

Keywords

Bariatric surgery Sleeve gastrectomy Gastric bypass Adjustable gastric band Stenosis Gastric fistula Bariatric endoscopy 

Supplementary material

Video 53.1

LAGB erosion: endoscopic management. Small area of LAGB erosion which was treated by early endoscopic removal through an incision in the gastric wall. The gastric wall covering the LAGB was incised using an endoscopic needle knife. In a second upper endoscopy performed 7 days later, endoscopic scissors were used to cut the thread and part of the band lock. The open band was then removed orally on the third endoscopic session. (MPG 88038 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Josemberg M. Campos
    • 1
    Email author
  • Patrícia Souza de Paula
    • 2
  • Almino C. Ramos
    • 3
  1. 1.Departamento de Cirurgia, Centro de Ciências da SaúdeUniversidade Federal de PernambucoRecifeBrazil
  2. 2.Research Group CNPqUniversidade Federal de Pernambuco – UFPERecifeBrazil
  3. 3.Department of Bariatric SurgeryGastro Obeso CenterSao PauloBrazil

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