Résumé
Aujourd’hui, la chirurgie bariatrique est bien établie dans le traitement de l’obésité morbide. Dans la majorité des cas, cette chirurgie se réalise sous cœlioscopie. Trois types d’interventions couvrent plus de 90% des gestes chirurgicaux.
Au vu de l’augmentation du nombre d’interventions réalisées, il est essentiel pour l’endoscopiste de connaître cette nouvelle anatomie endoscopique. Ainsi, l’aspect endoscopique normal de la gastroplastie verticale calibrée, du cerclage gastrique et du court-circuit gastrique est présenté. Le rôle de l’endoscopie dans le diagnostic et le traitement des complications des différentes techniques opératoires, sont revus en détail, sur la base de la littérature et de nos propres expériences.
Summary
Bariatric surgery is currently well established in the treatment of morbid obesity. In the majority of cases, this surgical procedure is carried out under laparoscopy. Three types of procedures cover more than 90% of this surgery.
Considering the increase of surgical procedures performed, it is essential for the endoscopist to know this new endoscopic anatomy. Thus, the normal endoscopic aspect of vertical banded gastroplasty, of gastric banding and of gastric bypass is presented. The role of endoscopy in the diagnosis and treatment of the different surgical complications is reviewed in detail, based on literature and on our own experience.
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Weber, J., Azagra-Goergen, M., Strock, P. et al. L’endoscopie après chirurgie bariatrique. Acta Endosc 37, 27–37 (2007). https://doi.org/10.1007/BF02961814
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DOI: https://doi.org/10.1007/BF02961814