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Early GI Bleeding After Bariatric Surgery

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Bariatric Endoscopy

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Abstract

The approach to early postoperative GI hemorrhage, arbitrarily defined as bleeding occurring within 2 weeks after bariatric surgery, differs from that of bleeding in patients with native anatomy. Early GI bleeding is more often a complication associated with Roux-en-Y gastric bypass (RYGB) surgery than other bariatric procedures and typically involves the gastrojejunal anastomosis or gastric staple line. GI bleeding that occurs beyond the early postoperative period is more commonly due to marginal ulceration. Conservative management suffices in many cases, but endoscopy with therapeutic intent should be considered in patients in whom bleeding is severe or recurs. This chapter reviews early postoperative bleeding following RYGB and proposes a management algorithm.

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Author information

Authors and Affiliations

  1. Department of Gastroenterlogy and Digestive Endoscopy, Hospital Universitário Da Universidade Federal De Juiz De Fora, Juiz de Flora, Minas Gerais, Brazil

    Lincoln E. V. V. Ferreira M.D., Ph.D.

  2. Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA

    Louis M. Wong Kee Song M.D. & Todd H. Baron M.D.

Authors
  1. Lincoln E. V. V. Ferreira M.D., Ph.D.
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  2. Louis M. Wong Kee Song M.D.
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  3. Todd H. Baron M.D.
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Corresponding author

Correspondence to Todd H. Baron M.D. .

Editor information

Editors and Affiliations

  1. Harvard Medical School, Division of Gastroenterology,, Brigham and Women's Hospital, 75 Francis St, ASB2, Boston, 02115, Massachusetts, USA

    Christopher C. Thompson

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Ferreira, L.E.V.V., Song, L.M.W.K., Baron, T.H. (2013). Early GI Bleeding After Bariatric Surgery. In: Thompson, C. (eds) Bariatric Endoscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1710-2_8

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  • DOI: https://doi.org/10.1007/978-1-4419-1710-2_8

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1709-6

  • Online ISBN: 978-1-4419-1710-2

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