Skip to main content

Management of the Patient with a History of Bariatric Surgery and Abdominal Pain in the Emergency Department

  • Chapter
  • First Online:
Bariatric Surgery Complications

Abstract

The recent rise in popularity of bariatric procedures has presented clinicians with new challenges and considerations when these patients present postoperatively in an emergent setting. Bariatric patients present with a different baseline of nutritional, metabolic, and endocrine homeostasis than the typical non-bariatric patient. From the surgical perspective, these patients present with altered alimentary anatomy and unique conditions that must be considered before undertaking any intraabdominal or endoscopic procedure. In the emergent setting, these patients require an altered algorithm for the management of abdominal pain, taking into account both the patient’s characteristics and the specific procedure that was done as well as the capabilities and resources of the institution to which they have presented acutely.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wallace AE, et al. Racial, socioeconomic, and rural–urban disparities in obesity-related bariatric surgery. Obes Surg. 2010;20(10):1354–60.

    Article  PubMed  Google Scholar 

  2. Nguyen NT, et al. Changes in the makeup of bariatric surgery: a national increase in use of laparoscopic sleeve gastrectomy. J Am Coll Surg. 2013;216(2):252–7.

    Article  PubMed  Google Scholar 

  3. Kuzmak LI, Yap IS, McGuire L, et al. Surgery for morbid obesity. Using an inflatable gastric band. AORN J. 1990;51:1307–24.

    Article  CAS  PubMed  Google Scholar 

  4. Belachew M, Belva PH, Desaive C. Long-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity. Obes Surg. 2002;12:564–8.

    Article  CAS  PubMed  Google Scholar 

  5. O’Brien PE, Dixon JB, Brown W, et al. The laparoscopic adjustable gastric band (Lap-Band): a prospective study of medium-term effects on weight, health and quality of life. Obes Surg. 2002;12:652–60.

    Article  PubMed  Google Scholar 

  6. Himpens J, Dapri G, Cadière GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16(11):1450–6.

    Article  PubMed  Google Scholar 

  7. Carlin AM, et al. The comparative effectiveness of sleeve gastrectomy, gastric bypass, and adjustable gastric banding procedures for the treatment of morbid obesity. Ann Surg. 2013;257(5):791–7.

    Article  PubMed  Google Scholar 

  8. Marceau P, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947–54.

    Article  CAS  PubMed  Google Scholar 

  9. Langer FB, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15(7):1024–9.

    Article  CAS  PubMed  Google Scholar 

  10. Rosenthal RJ, International Sleeve Gastrectomy Expert Panel. 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.

    Article  PubMed  Google Scholar 

  11. Young MT, et al. Use and outcomes of laparoscopic sleeve gastrectomy vs laparoscopic gastric bypass: analysis of the American College of Surgeons NSQIP. J Am Coll Surg. 2015;220(5):880–5.

    Article  PubMed  Google Scholar 

  12. Eubanks S, et al. Use of endoscopic stents to treat anastomotic complications after bariatric surgery. J Am Coll Surg. 2008;206(5):935–8.

    Article  PubMed  Google Scholar 

  13. Casella G, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19(7):821–6.

    Article  CAS  PubMed  Google Scholar 

  14. Higa KD, Ho T, Boone KB. Laparoscopic Roux-en-Y gastric bypass: technique and 3-year follow-up. J Laparoendosc Adv Surg Tech. 2001;11:377–82.

    Article  CAS  Google Scholar 

  15. Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am. 1967;47:1345–51.

    Article  CAS  PubMed  Google Scholar 

  16. Podnos YD, Jimenez JC, Wilson SE, Stevens M, Nguyen NT. Complications after laparoscopic gastric bypass. Arch Surg. 2003;138:957–61.

    Article  PubMed  Google Scholar 

  17. 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;234:279–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Higa KD, Ho T, Boone KB. Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. Obes Surg. 2003;13(3):350–4.

    Article  PubMed  Google Scholar 

  19. Altieri MS, Pryor AD, Telem DA, Hall K, Brathwaite C, Zawin M. Algorithmic approach to utilization of CT scans for detection of internal hernia in the gastric bypass patient. Surg Obes Relat Dis. 2015;11(6):1207–11.

    Article  PubMed  Google Scholar 

  20. Ballesta C, et al. Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2008;18(6):623–30.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aurora D. Pryor M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Pryor, A.D., Telem, D.A. (2017). Management of the Patient with a History of Bariatric Surgery and Abdominal Pain in the Emergency Department. In: Blackstone, R. (eds) Bariatric Surgery Complications. Springer, Cham. https://doi.org/10.1007/978-3-319-43968-6_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43968-6_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43966-2

  • Online ISBN: 978-3-319-43968-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics