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Enteric Leaks after Gastric Bypass: Prevention and Management

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Bariatric Surgery Complications and Emergencies

Abstract

Enteric leaks following Roux-en-Y gastric bypass cause devastating morbidity and are one of the main causes of mortality. The most common presenting signs and symptoms include abdominal pain, tachycardia, and fever. Upper gastrointestinal series or computerized tomography scans can be used to make the diagnosis when the clinical picture is equivocal. Prompt diagnosis and treatment optimizes outcomes. Preventative measures include meticulous dissection, ensuring adequate blood supply and minimal tension. Buttressing materials can be used to reinforce staple lines. Treatment is largely surgical for source control, debridement, and possibly placement of a gastrostomy tube in the gastric remnant.

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Author information

Authors and Affiliations

  1. Department of Surgery, New York-Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th St, Box 294, New York, NY, 10065, USA

    Cheguevara Afaneh MD & Gregory F. Dakin MD

Authors
  1. Cheguevara Afaneh MD
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  2. Gregory F. Dakin MD
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Correspondence to Gregory F. Dakin MD .

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Editors and Affiliations

  1. Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA

    Daniel M. Herron

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© 2016 Springer International Publishing Switzerland

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Afaneh, C., Dakin, G.F. (2016). Enteric Leaks after Gastric Bypass: Prevention and Management. In: Herron, D. (eds) Bariatric Surgery Complications and Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-27114-9_6

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  • DOI: https://doi.org/10.1007/978-3-319-27114-9_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27112-5

  • Online ISBN: 978-3-319-27114-9

  • eBook Packages: MedicineMedicine (R0)

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