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

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


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.


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 



American Association of Clinical Endocrinologists


Argon plasma coagulation


American Society for Gastrointestinal Endoscopy


American Society for Metabolic and Bariatric Surgery


Body mass index


Bariatric Outcomes Longitudinal Database


Biliopancreatic diversion


Biliopancreatic diversion with duodenal switch


Confidence interval


Centres of excellence


Computed tomography


Double-balloon enteroscopy


European Association of Endoscopic Surgery


European Association for the Study of Obesity


Endoscopic bariatric and metabolic therapy


Endoscopic bariatric therapy


End-to-end anastomosis


Endoscopic internal drainage


Endoscopic retrograde cholangiopancreaticography








Gastointestinal anastomis


International Federation for the Surgery of Obesity-European Chapter


Incisionless Operating Platform


Longitudinal assessment of bariatric surgery


Laparoscopic adjustable (silicone) gastric banding




Laparoscopic Roux-en-Y gastric bypass


Michigan Bariatric Surgery Collaborative


Non-stent endoscopic treatment


National Surgical Quality Improvement Program


Obesity Management Task Force


Obesity Surgery Mortality Risk Score




Red blood cell


Randomised clinical trial


Restorative Obesity Surgery Endolumenal


Roux-en-Y Gastric bypass


Society of American Gastrointestinal and Endoscopic Surgeons


Swedish band


Self-expandable metallic stents


Self-expandable plastic stents


Sleeve gastrectomy


Systemic inflammatory response syndrome


The Obesity Society


Vacuum-assisted closure


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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