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When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intraoperative and Early Post-operative Period

  • Elisabeth M. H. Mathus-Vliegen
  • Jérôme Dargent
Chapter

Abstract

Endoscopy may be of help during the operation when unexpected findings are in need of a proper diagnosis but most of the endoscopic procedures will be performed to guarantee a safe and airtight anastomosis or staple line. It will depend on the country and local customs and facilities whether the surgeon himself/herself performs the intraoperative endoscopy or whether he/she can call upon an endoscopist to assist in the procedure. Endoscopy in the post-operative period will be performed for clinical reasons, either as an emergency or electively to evaluate symptoms. In the case of positive findings that lend themselves to endoscopic treatment, the endoscopist may come to rescue the bariatric surgery.

Keywords

Overweight Obesity Endoscopic bariatric therapy Emergency Roux-en-Y gastric bypass Sleeve gastrectomy Anastomotic leak Intraoperative endoscopy Air leak test Methylene blue Gastrojejunal anastomosis GI series Mortality risk calculator Morbidity risk calculator Post-operative complaints Post-operative complications Perigastric technique Pars flaccida technique Stomal stenosis Marginal ulceration Perforation Fistula Helicobacter pylori Haemorrhage Mini gastric bypass One-anastomosis gastric bypass Biliopancreatic diversion Biliopancreatic diversion with duodenal switch Stent Clip Tissue sealant Endoscopic internal drainage Pigtail 

Abbreviations

AACE

American Association of Clinical Endocrinologists

APC

Argon plasma coagulation

ASGE

American Society for Gastrointestinal Endoscopy

ASMBS

American Society for Metabolic and Bariatric Surgery

BMI

Body mass index

BOLD

Bariatric Outcomes Longitudinal Database

BPD

Biliopancreatic diversion

BPD-DS

Biliopancreatic diversion with duodenal switch

CI

Confidence interval

COM

Centres of excellence

CT

Computed tomography

DBE

Double-balloon enteroscopy

EAES

European Association of Endoscopic Surgery

EASO

European Association for the Study of Obesity

EBMT

Endoscopic bariatric and metabolic therapy

EBT

Endoscopic bariatric therapy

EEA

End-to-end anastomosis

EID

Endoscopic internal drainage

ERCP

Endoscopic retrograde cholangiopancreaticography

Fr

French

GI

Gastrointestinal

GJ

Gastrojejunal

GIA

Gastointestinal anastomis

IFSO-EC

International Federation for the Surgery of Obesity-European Chapter

IOP

Incisionless Operating Platform

LABS

Longitudinal assessment of bariatric surgery

LA(S)GB

Laparoscopic adjustable (silicone) gastric banding

LB

LapBand

LRYGB

Laparoscopic Roux-en-Y gastric bypass

MBSC

Michigan Bariatric Surgery Collaborative

NSET

Non-stent endoscopic treatment

NSQIP

National Surgical Quality Improvement Program

OMTF

Obesity Management Task Force

OS-MRS

Obesity Surgery Mortality Risk Score

OTSC

Over-the-scope-clip

RBC

Red blood cell

RCT

Randomised clinical trial

ROSE

Restorative Obesity Surgery Endolumenal

RYGB

Roux-en-Y Gastric bypass

SAGES

Society of American Gastrointestinal and Endoscopic Surgeons

SB

Swedish band

SEMS

Self-expandable metallic stents

SEPS

Self-expandable plastic stents

SG

Sleeve gastrectomy

SIRS

Systemic inflammatory response syndrome

TOS

The Obesity Society

VAC

Vacuum-assisted closure

VBG

Vertical banded gastroplasty

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Elisabeth M. H. Mathus-Vliegen
    • 1
  • Jérôme Dargent
    • 2
  1. 1.Amsterdam UMC (University Medical Centres)AmsterdamThe Netherlands
  2. 2.Polyclinique Lyon NordLyonFrance

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