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Upper Endoscopy in Sleeve Gastrectomy

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The Perfect Sleeve Gastrectomy

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Abstract

For the patient undergoing sleeve gastrectomy, upper endoscopy serves as an important tool during each of the preoperative, intraoperative, and postoperative settings. In addition to its applications for workup and operative planning, endoscopic modalities allow for the early recognition and treatment of common postoperative complications following this procedure. In this chapter, we explore the various diagnostic and therapeutic roles of endoscopy during sleeve gastrectomy.

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References

  1. Sullivan S, Kumar N, Edmundowicz SA, Abu Dayyeh BK, Jonnalagadda SS, Larsen M, et al. ASGE position statement on endoscopic bariatric therapies in clinical practice. Gastrointest Endosc. 2015;82(5):767–72.

    Google Scholar 

  2. Cai JX, Schweitzer MA, Kumbhari V. Endoscopic Management of Bariatric Surgery Complications. Surg Laparosc Endosc Percutan Tech. 2016;26(2):93–101.

    Google Scholar 

  3. Campos JM, Mello FS, Ferraz AA, Brito JN, Nassif PA, Galvao-Neto Mdos P. Endoscopic dilation of gastrojejunal anastomosis after gastric bypass. Arq Bras Cir Dig. 2012;25(4):283–9.

    Google Scholar 

  4. de Moura EG, Orso IR, Aurelio EF, de Moura ET, de Moura DT, Santo MA. Factors associated with complications or failure of endoscopic balloon dilation of anastomotic stricture secondary to Roux-en-Y gastric bypass surgery. Surg Obes Relat Dis. 2016;12(3):582–6.

    Google Scholar 

  5. Escalona A, Devaud N, Boza C, Perez G, Fernandez J, Ibanez L, et al. Gastrojejunal anastomotic stricture after Roux-en-Y gastric bypass: ambulatory management with the Savary-Gilliard dilator. Surg Endosc. 2007;21(5):765–8.

    Google Scholar 

  6. Sapala JA, Wood MH, Sapala MA, Flake TM, Jr. Marginal ulcer after gastric bypass: a prospective 3-year study of 173 patients. Obes Surg. 1998;8(5):505–16.

    Google Scholar 

  7. Huang CS, Forse RA, Jacobson BC, Farraye FA. Endoscopic findings and their clinical correlations in patients with symptoms after gastric bypass surgery. Gastrointest Endosc. 2003;58(6):859–66.

    Google Scholar 

  8. Garrido Jr. AB, Rossi M, Lima Jr. SE, Brenner AS, Gomes Jr CAR. Early marginal ulcer following Roux-en-Y gastric bypass under proton pump inhibitor treatment: prospective multicentric study. Arquivos de Gastroenterologia. 2010;47:130–4.

    Google Scholar 

  9. Huang CS, Farraye FA. Endoscopy in the bariatric surgical patient. Gastroenterol Clin North Am. 2005;34(1):151–66.

    Google Scholar 

  10. Fobi M, Lee H, Igwe D, Felahy B, James E, Stanczyk M, et al. Band erosion: incidence, etiology, management and outcome after banded vertical gastric bypass. Obes Surg. 2001;11(6):699–707.

    Google Scholar 

  11. Campos JM, Evangelista LF, Ferraz AA, Galvao Neto MP, De Moura EG, Sakai P, et al. Treatment of ring slippage after gastric bypass: long-term results after endoscopic dilation with an achalasia balloon (with videos). Gastrointest Endosc. 2010;72(1):44–9.

    Google Scholar 

  12. Espinel J, Pinedo E. Stenosis in gastric bypass: Endoscopic management. World J Gastrointest Endosc. 2012;4(7):290–5.

    Google Scholar 

  13. Marins Campos J, Moon RC, Magalhaes Neto GE, Teixeira AF, Jawad MA, Bezerra Silva L, et al. Endoscopic treatment of food intolerance after a banded gastric bypass: inducing band erosion for removal using a plastic stent. Endoscopy. 2016;48(6):516–20.

    Google Scholar 

  14. Blero D, Eisendrath P, Vandermeeren A, Closset J, Mehdi A, Le Moine O, et al. Endoscopic removal of dysfunctioning bands or rings after restrictive bariatric procedures. Gastrointest Endosc. 2010;71(3):468–74.

    Google Scholar 

  15. Wilson TD, Miller N, Brown N, Snyder BE, Wilson EB. Stent induced gastric wall erosion and endoscopic retrieval of nonadjustable gastric band: a new technique. Surg Endosc. 2013;27(5):1617–21.

    Google Scholar 

  16. Ferraz A, Campos J, Dib V, Silva LB, de Paula PS, Gordejuela A, et al. Food intolerance after banded gastric bypass without stenosis: aggressive endoscopic dilation avoids reoperation. Obes Surg. 2013;23(7):959–64.

    Google Scholar 

  17. Shnell M, Fishman S, Eldar S, Goitein D, Santo E. Balloon dilatation for symptomatic gastric sleeve stricture. Gastrointest Endosc. 2014;79(3):521–4.

    Google Scholar 

  18. Zundel N, Hernandez JD, Galvao Neto M, Campos J. Strictures after laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010;20(3):154–8.

    Google Scholar 

  19. Rosenthal RJ, Diaz AA, Arvidsson D, Baker RS, Basso N, Bellanger D, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.

    Google Scholar 

  20. Vix M, Diana M, Marx L, Callari C, Wu HS, Perretta S, et al. Management of staple line leaks after sleeve gastrectomy in a consecutive series of 378 patients. Surg Laparosc Endosc Percutan Tech. 2015;25(1):89–93.

    Google Scholar 

  21. Bhayani NH, Swanstrom LL. Endoscopic therapies for leaks and fistulas after bariatric surgery. Surg Innov. 2014;21(1):90–7.

    Google Scholar 

  22. Baretta G, Campos J, Correia S, Alhinho H, Marchesini JB, Lima JH, et al. Bariatric postoperative fistula: a life-saving endoscopic procedure. Surg Endosc. 2015;29(7):1714–20.

    Google Scholar 

  23. Campos JM, Pereira EF, Evangelista LF, Siqueira L, Neto MG, Dib V, et al. Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention. Obes Surg. 2011;21(10):1520–9.

    Google Scholar 

  24. Silva LB, Moon RC, Teixeira AF, Jawad MA, Ferraz AA, Neto MG, et al. Gastrobronchial Fistula in Sleeve Gastrectomy and Roux-en-Y Gastric Bypass-A Systematic Review. Obes Surg. 2015;25(10):1959–65.

    Google Scholar 

  25. Puli SR, Spofford IS, Thompson CC. Use of self-expandable stents in the treatment of bariatric surgery leaks: a systematic review and meta-analysis. Gastrointest Endosc. 2012;75(2):287–93.

    Google Scholar 

  26. Basha J, Appasani S, Sinha SK, Siddappa P, Dhaliwal HS, Verma GR, et al. Mega stents: a new option for management of leaks following laparoscopic sleeve gastrectomy. Endoscopy. 2014;46 Suppl 1 UCTN:E49–50.

    Google Scholar 

  27. Shehab HM, Hakky SM, Gawdat KA. An Endoscopic Strategy Combining Mega Stents and Over-The-Scope Clips for the Management of Post-Bariatric Surgery Leaks and Fistulas (with video). Obes Surg. 2015.

    Google Scholar 

  28. Fischer A, Bausch D, Richter-Schrag HJ. Use of a specially designed partially covered self-expandable metal stent (PSEMS) with a 40-mm diameter for the treatment of upper gastrointestinal suture or staple line leaks in 11 cases. Surg Endosc. 2013;27(2):642–7.

    Google Scholar 

  29. Nedelcu M, Manos T, Cotirlet A, Noel P, Gagner M. Outcome of leaks after sleeve gastrectomy based on a new algorithm adressing leak size and gastric stenosis. Obes Surg. 2015;25(3):559–63.

    Google Scholar 

  30. van Wezenbeek MR, de Milliano MM, Nienhuijs SW, Friederich P, Gilissen LP. A Specifically Designed Stent for Anastomotic Leaks after Bariatric Surgery: Experiences in a Tertiary Referral Hospital. Obes Surg. 2015.

    Google Scholar 

  31. Fishman MB, Sedov VM, Lantsberg L. [Laparoscopic adjustable gastric banding in treatment of patients with obesity]. Vestn Khir Im I I Grek. 2008;167(1):29–32.

    Google Scholar 

  32. Galloro G, Magno L, Musella M, Manta R, Zullo A, Forestieri P. A novel dedicated endoscopic stent for staple-line leaks after laparoscopic sleeve gastrectomy: a case series. Surg Obes Relat Dis. 2014;10(4):607–11.

    Google Scholar 

  33. Bezerra Silva L, Galvao Neto M, Marchesini JC, E SNG, Campos J. Sleeve gastrectomy leak: endoscopic management through a customized long bariatric stent. Gastrointest Endosc. 2017;85(4):865–6.

    Google Scholar 

  34. Pequignot A, Fuks D, Verhaeghe P, Dhahri A, Brehant O, Bartoli E, et al. Is there a place for pigtail drains in the management of gastric leaks after laparoscopic sleeve gastrectomy? Obesity surgery. 2012;22(5):712–20.

    Google Scholar 

  35. Lutfi, R., Palermo, M., Cadière, G.B. (Eds.) Global Bariatric Surgery. The Art of Weight Loss Across the Borders. Springer. 2018.

    Google Scholar 

  36. Palermo M., Gimenez M., Gagner M. Laparoscopic Gastrointestinal Surgery. AMOLCA Barranquilla, Colombia. 2015.

    Google Scholar 

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Author information

Authors and Affiliations

  1. General surgeon in Cleveland, Cleveland Clinic and Cleveland Clinic Fairview Hospital, Cleveland, OH, USA

    Joshua P. Landreneau

  2. Chief of the Digestive Disease Institute at Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Matthew D. Kroh

Authors
  1. Joshua P. Landreneau
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  2. Matthew D. Kroh
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Corresponding author

Correspondence to Matthew D. Kroh .

Editor information

Editors and Affiliations

  1. Department of Surgery, Sacré-Coeur Hospital, Montréal, QC, Canada

    Michel Gagner

  2. Bariatric Surgery, Gastro Obeso Center, Sao Paulo, Brazil

    Almino Ramos Cardoso

  3. Diagnomed, University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  4. Emirates Specialty Hospital, Dubai, United Arab Emirates

    Patrick Noel

  5. CHU Montpellier, Saint Gely du Fesc, France

    David Nocca

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Landreneau, J.P., Kroh, M.D. (2020). Upper Endoscopy in Sleeve Gastrectomy. In: Gagner, M., Cardoso, A., Palermo, M., Noel, P., Nocca, D. (eds) The Perfect Sleeve Gastrectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-28936-2_9

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  • DOI: https://doi.org/10.1007/978-3-030-28936-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28935-5

  • Online ISBN: 978-3-030-28936-2

  • eBook Packages: MedicineMedicine (R0)

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