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Bariatric Therapy pp 261–335Cite as

When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intraoperative and Early Post-operative Period

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Abstract

Endoscopy may be of help during the operation when unexpected findings are in need of a proper diagnosis but most of the endoscopic procedures will be performed to guarantee a safe and airtight anastomosis or staple line. It will depend on the country and local customs and facilities whether the surgeon himself/herself performs the intraoperative endoscopy or whether he/she can call upon an endoscopist to assist in the procedure. Endoscopy in the post-operative period will be performed for clinical reasons, either as an emergency or electively to evaluate symptoms. In the case of positive findings that lend themselves to endoscopic treatment, the endoscopist may come to rescue the bariatric surgery.

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Abbreviations

AACE:

American Association of Clinical Endocrinologists

APC:

Argon plasma coagulation

ASGE:

American Society for Gastrointestinal Endoscopy

ASMBS:

American Society for Metabolic and Bariatric Surgery

BMI:

Body mass index

BOLD:

Bariatric Outcomes Longitudinal Database

BPD:

Biliopancreatic diversion

BPD-DS:

Biliopancreatic diversion with duodenal switch

CI:

Confidence interval

COM:

Centres of excellence

CT:

Computed tomography

DBE:

Double-balloon enteroscopy

EAES:

European Association of Endoscopic Surgery

EASO:

European Association for the Study of Obesity

EBMT:

Endoscopic bariatric and metabolic therapy

EBT:

Endoscopic bariatric therapy

EEA:

End-to-end anastomosis

EID:

Endoscopic internal drainage

ERCP:

Endoscopic retrograde cholangiopancreaticography

Fr:

French

GI:

Gastrointestinal

GJ:

Gastrojejunal

GIA:

Gastointestinal anastomis

IFSO-EC:

International Federation for the Surgery of Obesity-European Chapter

IOP:

Incisionless Operating Platform

LABS:

Longitudinal assessment of bariatric surgery

LA(S)GB:

Laparoscopic adjustable (silicone) gastric banding

LB:

LapBand

LRYGB:

Laparoscopic Roux-en-Y gastric bypass

MBSC:

Michigan Bariatric Surgery Collaborative

NSET:

Non-stent endoscopic treatment

NSQIP:

National Surgical Quality Improvement Program

OMTF:

Obesity Management Task Force

OS-MRS:

Obesity Surgery Mortality Risk Score

OTSC:

Over-the-scope-clip

RBC:

Red blood cell

RCT:

Randomised clinical trial

ROSE:

Restorative Obesity Surgery Endolumenal

RYGB:

Roux-en-Y Gastric bypass

SAGES:

Society of American Gastrointestinal and Endoscopic Surgeons

SB:

Swedish band

SEMS:

Self-expandable metallic stents

SEPS:

Self-expandable plastic stents

SG:

Sleeve gastrectomy

SIRS:

Systemic inflammatory response syndrome

TOS:

The Obesity Society

VAC:

Vacuum-assisted closure

VBG:

Vertical banded gastroplasty

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  1. Amsterdam UMC (University Medical Centres), Amsterdam, The Netherlands

    Elisabeth M. H. Mathus-Vliegen

  2. Polyclinique Lyon Nord, Lyon, France

    Jérôme Dargent

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Mathus-Vliegen, E.M.H., Dargent, J. (2018). When the Surgeon Needs the Endoscopist in Rescuing Bariatric Surgery: Intraoperative and Early Post-operative Period. In: Bariatric Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-90074-2_5

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