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Complications of Roux-en-Y Gastric Bypass

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The SAGES Manual of Bariatric Surgery

Abstract

While RYGB persists as the gold standard for weight loss procedures, complications are not infrequent. Adverse events can be categorized by their timing postoperatively, generally occurring in the perioperative setting within 72 h, acutely within the first 8 weeks, or late postoperatively after 8 weeks as acute or chronic events. Expeditious diagnosis and management of life-threatening complications, like gastrointestinal bleed, leak, or small bowel obstruction, are essential, and bariatric surgeons must maintain a low index of suspicion for these events on patient presentation. Furthermore, patients may endorse vague symptoms associated with a variety of possible chronic complications to which the surgeon must be keenly attuned. This chapter provides a framework to identify potential complications after RYGB and aid in establishing a treatment strategy for these patients.

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Authors and Affiliations

  1. Baystate Medical Center, Department of Surgery, University of Massachusetts Medical Center, Springfield, MA, USA

    Erica D. Kane & John R. Romanelli

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Correspondence to Erica D. Kane .

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Editors and Affiliations

  1. Foregut and Bariatric Surgeon, Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

  2. Long Island Jewish Forest Hills Hospital, Department of Surgery, Hofstra-Northwell School of Medicine, Forest Hills, New York, USA

    Allison M. Barrett

  3. Institute Chief, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Matthew D. Kroh

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Kane, E.D., Romanelli, J.R. (2018). Complications of Roux-en-Y Gastric Bypass. In: Reavis, K., Barrett, A., Kroh, M. (eds) The SAGES Manual of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-71282-6_33

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