How to Manage Complications

  • Susumu InamineEmail author


Although the vast majority of bariatric procedures achieve successful outcomes and provide many benefits to the patients, there is still a significant risk of postoperative complications. Weight loss surgery is a relatively simple procedure that modifies the route of digestive tract. However, there are bariatric surgery specific complications different from that of other gastrointestinal procedures such as gastric cancer surgeries.


Bariatric Surgery Gastric Bypass Laparoscopic Sleeve Gastrectomy Laparoscopic Adjustable Gastric Band Staple Line 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

albert neal thyroglossal duct cyst2 (80.6 MB)

albert neal thyroglossal duct cyst2 (34.5 MB)

albert neal thyroglossal duct cyst2 (51.0 MB)

albert neal thyroglossal duct cyst2 (23.9 MB)

albert neal thyroglossal duct cyst2 (21.0 MB)

albert neal thyroglossal duct cyst2 (50.1 MB)

albert neal thyroglossal duct cyst2 (73.7 MB)

albert neal thyroglossal duct cyst2 (47.9 MB)

albert neal thyroglossal duct cyst2 (25.5 MB)

albert neal thyroglossal duct cyst2 (22.4 MB)

albert neal thyroglossal duct cyst2 (53.6 MB)

albert neal thyroglossal duct cyst2 (17.1 MB)


  1. 1.
    Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427.PubMedCrossRefGoogle Scholar
  2. 2.
    Buchwald H, Avidor Y, et al. Bariatric surgery: a systemic review and analysis. JAMA. 2004;292(14):1724.PubMedCrossRefGoogle Scholar
  3. 3.
    Longitudinal Assessment of Bariatric Surgery Consortium. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;36(5):445.Google Scholar
  4. 4.
    Maggard MA, Shugamann LR, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547.PubMedCrossRefGoogle Scholar
  5. 5.
    Buchwald H, Esok R. Trends in mortality in bariatric surgery: asystemic review and meta-analysis. Surgery. 2007;142(4):621.PubMedCrossRefGoogle Scholar
  6. 6.
    Lancaster RH, Hutter MM. Bands and bypass: 30-day morbidity and mortality of bariatric surgical procedures assessment by prospective, multi-center, risk-adjusted ACS-NSQIP data. Surg Endosc. 2008;22(12):2554.PubMedCrossRefGoogle Scholar
  7. 7.
    Schauer P, Ikramuddin S, Hamad G, Gourash W. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17:212.PubMedCrossRefGoogle Scholar
  8. 8.
    Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y-500 patients: technique and results, with 3–60 month follow-up. Obes Surg. 2000;10:233.PubMedCrossRefGoogle Scholar
  9. 9.
    Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279.PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Higa KD, Boone KB, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients – what have we learned? Obes Surg. 2000;10:509.PubMedCrossRefGoogle Scholar
  11. 11.
    Shikora SA, Kim JJ, Tarnoff ME. Comparison of permanent and nonpermanent staple line buttressing materials for linear gastric staple lines during laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4:729.PubMedCrossRefGoogle Scholar
  12. 12.
    Fukumoto R, Orlina J, McGinty J, Teixeira J. Use of Polyflex stents in treatment of acute esophageal and gastric leaks after bariatric surgery. Surg Obes Relat Dis. 2007;3:68.PubMedCrossRefGoogle Scholar
  13. 13.
    Morino M, Toppino M, Forestieri P, et al. Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg. 2007;246:1002.PubMedCrossRefGoogle Scholar
  14. 14.
    Capella JF, Capella RF. Gastro-gastric fistulas and marginal ulcers in gastric bypass procedures for weight reduction. Obes Surg. 1999;9:22.PubMedCrossRefGoogle Scholar
  15. 15.
    Eisendrath P, Cremer M, Himpens J, et al. Endotherapy including temporary stenting of fistulas of the upper gastrointestinal tract after laparoscopic bariatric surgery. Endoscopy. 2007;39:625.PubMedCrossRefGoogle Scholar
  16. 16.
    Himpens J, Cadière GB, Bazi M, et al. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146:802.PubMedCrossRefGoogle Scholar
  17. 17.
    Chevallier JM, Zinzindohoué F, Douard R, et al. Complications after laparoscopic adjustable gastric banding for morbid obesity: experience with 1,000 patients over 7 years. Obes Surg. 2004;14:407.PubMedCrossRefGoogle Scholar
  18. 18.
    Gagner M, Deitel M, Kalberer TL, et al. The second international consensus summit for sleeve gastrectomy, March 19–21, 2009. Surg Obes Relat Dis. 2009;5:476.PubMedCrossRefGoogle Scholar
  19. 19.
    Deitel M, et al. Third international summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(6):749–59.PubMedCrossRefGoogle Scholar
  20. 20.
    Oshiro T, Kasama K, Umezawa A, et al. Successful management of refractory staple line leakage at the esophagogastric junction after a sleeve gastrectomy using the HANAROSTENT. Obes Surg. 2010;20:530.PubMedCrossRefGoogle Scholar
  21. 21.
    Serra C, Baltasar A, Andreo L, et al. Treatment of gastric leaks with coated self-expanding stents after sleeve gastrectomy. Obes Surg. 2007;17:866.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Endoscopic SurgeryNakagami General HospitalOkinawaJapan

Personalised recommendations