Abstract
This chapter focuses on common complications that occur in bariatric surgery >30 days after initial operation. The four procedures written about are the laparoscopic adjustable gastric band (LAGB), the Roux-en-y gastric bypass (RYGB), the sleeve gastrectomy (SG), and the biliopancreatic diversion with duodenal switch (BPD/DS). Issues encountered include equipment failures, infections, intestinal obstructions, and nutritional deficiencies. Presentation, diagnosis, and treatment are discussed for the various complications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ponce J, Fromm R, Paynter J. Outcomes after laparoscopic adjustable gastric band repositioning for slippage or pouch dilation. Surg Obes Relat Dis. 2006;2:627–31.
Parikh MS, Fielding GA, Ren CJ. U.S. Experience with 749 laparoscopic adjustable gastric bands: intermediate outcomes. Surg Endosc. 2005;19:1631–5.
Ponce J, Paynter S, Fromm R. Laparoscopic adjustable gastric banding: 1,014 consecutive cases. J Am Coll Surg. 2005;201:529–35.
Spivak H, Rubin M. Laparoscopic management of lap-band slippage. Obes Surg. 2003;13:116–20.
Hellmuth B. Gastric erosion following adjustable gastric banding. In: The SAGES manual- a practical guide to bariatric surgery. New York: Springer; 2008. p. 227–38.
Abu-Abeid S, Keidar A, Gavert N, et al. The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc. 2003;17(6):861–3.
Blero D, Eisendrath P, Vandermeeren A, et al. Endoscopic removal of dysfunctioning bands or rings after restrictive bariatric procedures. Gastrointest Endosc. 2010;71(3):468–74.
Arias E, Radulescu M, Stiegeler R, et al. Diagnosis and treatment of megaesophagus after adjustable gastric banding for morbid obesity. Surg Obes Relat Dis. 2009;5(2):156–9.
Fielding GA. Should the lap band be removed to treat Pseudoachalasia? Gastroenterology & Hepatology. 2013;9(7):471–3.
Allen J, Lagardere A. Laparoscopic adjustable gastric banding complications. In: Minimally invasive bariatric surgery. New York: Springer; 2008. p. 205–12.
Perez A, Demaria E. Intestinal obstruction after laparoscopic gastric bypass. In: The SAGES manual- a practical guide to bariatric surgery. New York: Springer; 2008. p. 205–8.
Barba CA, Butensky MS, Lorenzo M, Newman R. Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass. Surg Endosc. 2003;17:416–20.
Iannuccilli JD, et al. Sensitivity and specificity of eight CT signs in the preoperative diagnosis of internal mesenteric hernia following Roux-en-Y gastric bypass surgery. Clin Radiol. 2009;64(4):373–80.
Rasmussen JJ, Fuller W, Ali MR. Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients. Surg Endosc. 2007;21(7):1090–4.
Patel RA, Brolin RE, Gandhi A. Revisional operations for marginal ulcer after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2009;5(3):317–22.
Kaidar-Person O, Person B, Szomstein S, et al. Nutritional deficiencies in morbidly obese patients: a new form of malnutrition? Part A: vitamins. Obes Surg. 2008;18(7):870–6.
Saif T, Strain GW, Dakin G, Gagner M, et al. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery. Surg Obes Relat Dis. 2012;8(5):542–7.
Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248(5):714–20.
Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol. 2007;6(5):442–55.
Owens M, Barry M, Janjua AZ, et al. A systematic review of laparoscopic port site hernias in gastrointestinal surgery. Surgeon. 2011;9(4):218–24.
Bertolotto M, Gianetta E, Rollandi GA, et al. Imaging of patients with pancreaticobiliary diversion for obesity: post-operative anatomy and findings in small bowel obstruction. Br J Radiol. 1996;69:708–16.
Slater GH, Ren CJ, Siegel N, et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg. 2004;8(1):48–55.
Bloomberg RD, Fleishman A, Nalle JE, et al. Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg. 2005;15(2):145–54.
Dolan K, Hatzifotis M, Newbury L, et al. A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg. 2004;240(1):51–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kurian, M., Creange, C. (2017). Late Complications of Bariatric Procedures. In: Blackstone, R. (eds) Bariatric Surgery Complications. Springer, Cham. https://doi.org/10.1007/978-3-319-43968-6_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-43968-6_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43966-2
Online ISBN: 978-3-319-43968-6
eBook Packages: MedicineMedicine (R0)