Techniques in Gastrointestinal Endoscopy
Volume 8, Issue 2 , Pages 54-65 , April 2006

Complications following Bariatric Surgery

  • Christopher S. Huang, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Christopher S. Huang, MD, Section of Gastroenterology, 85 East Concord Street, 7th Floor, Boston, MA 02118.
    • ,
  • Francis A. Farraye, MD, MSc

References 

  1. Brolin RE . Update: NIH consensus conference. Gastrointestinal surgery for severe obesity . Nutrition . 1996;12:403–404
  2. Steinbrook R . Surgery for severe obesity . N Engl J Med . 2004;350:1075–1079
  3. Santry HP , Gillen DL , Lauderdale DS . Trends in bariatric surgical procedures . J Am Med Assoc . 2005;294:1909–1917
  4. Mun EC , Blackburn GL , Matthews JB . Current status of medical and surgical therapy for obesity . Gastroenterology . 2001;120:669–681
  5. Fobi M , Lee H , Igwe D , et al.   Band erosion (incidence, etiology, management and outcome after banded vertical gastric bypass) . Obes Surg . 2001;11:699–707
  6. Bo O , Modalsli O . Gastric banding, a surgical method of treating morbid obesity (preliminary report) . Int J Obes . 1983;7:493–499
  7. Kuzmak LI . A review of seven years’ experience with silicone gastric banding . Obes Surg . 1991;1:403–408
  8. Cadiere GB , Himpens J , Hainaux B , et al.   Laparoscopic adjustable gastric banding . Semin Laparosc Surg . 2002;9:105–114
  9. Provost DA . Laparoscopic adjustable gastric banding (an attractive option) . Surg Clin North Am . 2005;85:789–805
  10. Ponce J , Paynter S , Fromm R . Laparoscopic adjustable gastric banding (1,014 consecutive cases) . J Am Coll Surg . 2005;201:529–535
  11. DeMaria EJ . Laparoscopic adjustable silicone gastric banding (complications) . J Laparoendosc Adv Surg Tech A . 2003;13:271–277
  12. Scopinaro N , Gianetta E , Pandolfo N , et al.   [Bilio-pancreatic bypass. Proposal and preliminary experimental study of a new type of operation for the functional surgical treatment of obesity] . Minerva Chir . 1976;31:560–566
  13. Scopinaro N , Gianetta E , Civalleri D , et al.   Bilio-pancreatic bypass for obesity. II. Initial experience in man . Br J Surg . 1979;66:618–620
  14. Marceau P , Hould FS , Simard S , et al.   Biliopancreatic diversion with duodenal switch . World J Surg . 1998;22:947–954
  15. Hess DS , Hess DW . Biliopancreatic diversion with a duodenal switch . Obes Surg . 1998;8:267–282
  16. Mason ME , Jalagani H , Vinik AI . Metabolic complications of bariatric surgery (diagnosis and management issues) . Gastroenterol Clin North Am . 2005;34:25–33
  17. Anderson W , Foresta L . Nutritional consequences following bariatric surgery . In:  Farraye FA ,  Forse RA editor. Bariatric Surgery (A Primer for Your Medical Practice) . Thorofare, NJ: Slack; 2006;p. 141–155
  18. Pandolfino JE , Krishnamoorthy B , Lee TJ . Gastrointestinal complications of obesity surgery . Med Gen Med . 2004;6:15
  19. Huang CS , Forse RA , Jacobson BC , et al.   Endoscopic findings and their clinical correlations in patients with symptoms after gastric bypass surgery . Gastrointest Endosc . 2003;58:859–866
  20. Tu BN , Kelly KA . Motility disorders after Roux-en-Y gastrojejunostomy . Obes Surg . 1994;4:219–226
  21. Ukleja A , Stone RL . Medical and gastroenterologic management of the post-bariatric surgery patient . J Clin Gastroenterol . 2004;38:312–321
  22. Hocking MP , Duerson MC , O’Leary JP , et al.   Jejunoileal bypass for morbid obesity. Late follow-up in 100 cases . N Engl J Med . 1983;308:995–999
  23. Hocking MP , Davis GL , Franzini DA , et al.   Long-term consequences after jejunoileal bypass for morbid obesity . Dig Dis Sci . 1998;43:2493–2499
  24. Ahn LB , Huang CS , Forse RA , et al.   Crohn’s disease after gastric bypass surgery for morbid obesity (is there an association?) . Inflamm Bowel Dis . 2005;11:622–624
  25. Kaplan LM . Gastrointestinal management of the bariatric surgery patient . Gastroenterol Clin North Am . 2005;34:105–125
  26. Ovrebo KK , Hatlebakk JG , Viste A , et al.   Gastroesophageal reflux in morbidly obese patients treated with gastric banding or vertical banded gastroplasty . Ann Surg . 1998;228:51–58
  27. Lundell L , Ruth M , Olbe L . Vertical banded gastroplasty or gastric banding for morbid obesity (effects on gastro-oesophageal reflux) . Eur J Surg . 1997;163:525–531
  28. de Jong JR , van Ramshorst B , Timmer R , et al.   The influence of laparoscopic adjustable gastric banding on gastroesophageal reflux . Obes Surg . 2004;14:399–406
  29. Ortega J , Escudero MD , Mora F , et al.   Outcome of esophageal function and 24-hour esophageal pH monitoring after vertical banded gastroplasty and Roux-en-Y gastric bypass . Obes Surg . 2004;14:1086–1094
  30. Foster A , Laws HL , Gonzalez QH , et al.   Gastrointestinal symptomatic outcome after laparoscopic Roux-en-Y gastric bypass . J Gastrointest Surg . 2003;7:750–753
  31. Capella JF , Capella RF . Gastro-gastric fistulas and marginal ulcers in gastric bypass procedures for weight reduction . Obes Surg . 1999;9:22–27 discussion 28
  32. Capella JF , Capella RF . Staple disruption and marginal ulceration in gastric bypass procedures for weight reduction . Obes Surg . 1996;6:44–49
  33. MacLean LD , Rhode BM , Nohr C , et al.   Stomal ulcer after gastric bypass . J Am Coll Surg . 1997;185:1–7
  34. Sanyal AJ , Sugerman HJ , Kellum JM , et al.   Stomal complications of gastric bypass (incidence and outcome of therapy) . Am J Gastroenterol . 1992;87:1165–1169
  35. Marano BJ . Endoscopy after Roux-en-Y gastric bypass (a community hospital experience) . Obes Surg . 2005;15:342–345
  36. Hedberg J , Hedenstrom H , Nilsson S , et al.   Role of gastric acid in stomal ulcer after gastric bypass . Obes Surg . 2005;15:1375–1378
  37. Sapala JA , Wood MH , Sapala MA , et al.   Marginal ulcer after gastric bypass (a prospective 3-year study of 173 patients) . Obes Surg . 1998;8:505–516
  38. Pope GD , Goodney PP , Burchard KW , et al.   Peptic ulcer/stricture after gastric bypass (a comparison of technique and acid suppression variables) . Obes Surg . 2002;12:30–33
  39. Schirmer B , Erenoglu C , Miller A . Flexible endoscopy in the management of patients undergoing Roux-en-Y gastric bypass . Obes Surg . 2002;12:634–638
  40. Jordan JH , Hocking MP , Rout WR , et al.   Marginal ulcer following gastric bypass for morbid obesity . Am Surg . 1991;57:286–288
  41. Ahmad J , Martin J , Ikramuddin S , et al.   Endoscopic balloon dilation of gastroenteric anastomotic stricture after laparoscopic gastric bypass . Endoscopy . 2003;35:725–728
  42. Barba CA , Butensky MS , Lorenzo M , et al.   Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass . Surg Endosc . 2003;17:416–420
  43. Sataloff DM , Lieber CP , Seinige UL . Strictures following gastric stapling for morbid obesity. Results of endoscopic dilatation . Am Surg . 1990;56:167–174
  44. Kretzschmar CS , Hamilton JW , Wissler DW , et al.   Balloon dilation for the treatment of stomal stenosis complicating gastric surgery for morbid obesity . Surgery . 1987;102:443–446
  45. Blachar A , Federle MP . Gastrointestinal complications of laparoscopic roux-en-Y gastric bypass surgery in patients who are morbidly obese (findings on radiography and CT) . AJR Am J Roentgenol . 2002;179:1437–1442
  46. Matthews BD , Sing RF , DeLegge MH , et al.   Initial results with a stapled gastrojejunostomy for the laparoscopic isolated roux-en-Y gastric bypass . Am J Surg . 2000;179:476–481
  47. Greve JW . Surgical treatment of morbid obesity (role of the gastroenterologist) . Scand J Gastroenterol Suppl . 2000;??:60–64
  48. Abu-Abeid S , Keidar A , Gavert N , et al.   The clinical spectrum of band erosion following laparoscopic adjustable silicone gastric banding for morbid obesity . Surg Endosc . 2003;17:861–863
  49. Westling A , Bjurling K , Ohrvall M , et al.   Silicone-adjustable gastric banding (disappointing results) . Obes Surg . 1998;8:467–474
  50. Weiss H , Nehoda H , Labeck B , et al.   Gastroscopic band removal after intragastric migration of adjustable gastric band (a new minimal invasive technique) . Obes Surg . 2000;10:167–170
  51. O’Brien PE , Dixon JB , Laurie C , et al.   A prospective randomized trial of placement of the laparoscopic adjustable gastric band (comparison of the perigastric and pars flaccida pathways) . Obes Surg . 2005;15:820–826
  52. Iannelli A , Facchiano E , Sejor E , et al.   Gastric necrosis (a rare complication of gastric banding) . Obes Surg . 2005;15:1211–1214
  53. Felsher J , Brodsky J , Brody F . Small bowel obstruction after laparoscopic Roux-en-Y gastric bypass . Surgery . 2003;134:501–505
  54. Champion JK , Williams M . Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass . Obes Surg . 2003;13:596–600
  55. Higa KD , Ho T , Boone KB . Internal hernias after laparoscopic Roux-en-Y gastric bypass (incidence, treatment and prevention) . Obes Surg . 2003;13:350–354
  56. Nguyen NT , Huerta S , Gelfand D , et al.   Bowel obstruction after laparoscopic Roux-en-Y gastric bypass . Obes Surg . 2004;14:190–196
  57. Goitein D , Gagne DJ , Papasavas PK , et al.   Superior mesenteric artery syndrome after laparoscopic Roux-en-Y gastric bypass for morbid obesity . Obes Surg . 2004;14:1008–1011
  58. Bocker J , Vasile J , Zager J , et al.   Intussusception (an uncommon cause of postoperative small bowel obstruction after gastric bypass) . Obes Surg . 2004;14:116–119
  59. Duane TM , Wohlgemuth S , Ruffin K . Intussusception after Roux-en-Y gastric bypass . Am Surg . 2000;66:82–84
  60. Stellato TA , Crouse C , Hallowell PT . Bariatric surgery (creating new challenges for the endoscopist) . Gastrointest Endosc . 2003;57:86–94
  61. Flickinger EG , Sinar DR , Pories WJ , et al.   The bypassed stomach . Am J Surg . 1985;149:151–156
  62. Sinar DR , Flickinger EG , Park HK , et al.   Retrograde endoscopy of the bypassed stomach segment after gastric bypass surgery (unexpected lesions) . South Med J . 1985;78:255–258
  63. Sakai P , Kuga R , Safatle-Ribeiro AV , et al.   Is it feasible to reach the bypassed stomach after Roux-en-Y gastric bypass for morbid obesity? The use of the double-balloon enteroscope . Endoscopy . 2005;37:566–569
  64. Sundbom M , Nyman R , Hedenstrom H , et al.   Investigation of the excluded stomach after Roux-en-Y gastric bypass . Obes Surg . 2001;11:25–27
  65. Baron TH , Vickers SM . Surgical gastrostomy placement as access for diagnostic and therapeutic ERCP . Gastrointest Endosc . 1998;48:640–641
  66. Fobi MA , Chicola K , Lee H . Access to the bypassed stomach after gastric bypass . Obes Surg . 1998;8:289–295
  67. Lineaweaver W , Ryckman F , Hawkins I , et al.   Endoscopic balloon dilation of outlet stenosis after gastric bypass . Am Surg . 1985;51:194–196
  68. Rajdeo H , Bhuta K , Ackerman NB . Endoscopic management of gastric outlet obstruction following surgery for morbid obesity . Am Surg . 1989;55:724–727
  69. Al-Halees ZY , Freeman JB , Burchett H , et al.   Nonoperative management of stomal stenosis after gastroplasty for morbid obesity . Surg Gynecol Obstet . 1986;162:349–354
  70. Wolper JC , Messmer JM , Turner MA , et al.   Endoscopic dilation of late stomal stenosis. Its use following gastric surgery for morbid obesity . Arch Surg . 1984;119:836–837
  71. Froyen J , Rosseland AR , Helsingen N . Endoscopic diathermy incision in the treatment of stoma obstruction after gastroplasty for obesity . Endoscopy . 1985;17:91–93
  72. Bell RL , Reinhardt KE , Flowers JL . Surgeon-performed endoscopic dilatation of symptomatic gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass . Obes Surg . 2003;13:728–733
  73. Go MR , Muscarella P , Needleman BJ , et al.   Endoscopic management of stomal stenosis after Roux-en-Y gastric bypass . Surg Endosc . 2004;18:56–59
  74. Schauer PR , Ikramuddin S , Gourash W , et al.   Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity . Ann Surg . 2000;232:515–529
  75. Braley SC , Nguyen NT , Wolfe BM . Late gastrointestinal hemorrhage after gastric bypass . Obes Surg . 2002;12:404–407
  76. Nguyen NT , Rivers R , Wolfe BM . Early gastrointestinal hemorrhage after laparoscopic gastric bypass . Obes Surg . 2003;13:62–65
  77. Moretto M , Mottin CC , Padoin AV , et al.   Endoscopic management of bleeding after gastric bypass (a therapeutic alternative) . Obes Surg . 2004;14:706
  78. Steffen R . Early gastrointestinal hemorrhage after laparoscopic gastric bypass . Obes Surg . 2003;13466:466–467 author reply
  79. Mehran A , Szomstein S , Zundel N , et al.   Management of acute bleeding after laparoscopic Roux-en-Y gastric bypass . Obes Surg . 2003;13:842–847
  80. Catalano MF , George S , Thomas M . Weight gain following bariatric surgery secondary to staple line disruption and stomal dilation (endotherapy using sodium morrhuate to induce stomal stenosis prevents need for surgical revision) . [abstract] Gastrointest Endosc . 2004;59:AB149
  81. Thompson CC , Carr-Locke DL , Saltzman J . Peroral endoscopic repair of staple-line dehiscence in Roux-en-Y gastric bypass (a less invasive approach) . [abstract] Gastroenterology . 2004;126(suppl 2):A-810
  82. Schweitzer M . Endoscopic intraluminal suture plication of the gastric pouch and stoma in postoperative Roux-en-Y gastric bypass patients . J Laparoendosc Adv Surg Tech A . 2004;14:223–226
  83. Shiffman ML , Sugerman HJ , Kellum JM , et al.   Gallstone formation after rapid weight loss (a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity) . Am J Gastroenterol . 1991;86:1000–1005
  84. Fobi M , Lee H , Igwe D , et al.   Prophylactic cholecystectomy with gastric bypass operation (incidence of gallbladder disease) . Obes Surg . 2002;12:350–353
  85. Hamad GG , Ikramuddin S , Gourash WF , et al.   Elective cholecystectomy during laparoscopic Roux-en-Y gastric bypass (is it worth the wait?) . Obes Surg . 2003;13:76–81
  86. Sreenarasimhaiah J . Prevention or surgical treatment of gallstones in patients undergoing gastric bypass surgery for obesity . Curr Treat Options Gastroenterol . 2004;7:99–104
  87. Feitoza AB , Baron TH . Endoscopy and ERCP in the setting of previous upper GI tract surgery. Part I: reconstruction without alteration of pancreaticobiliary anatomy . Gastrointest Endosc . 2001;54:743–749
  88. Hintze RE , Adler A , Veltzke W , et al.   Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy . Endoscopy . 1997;29:69–73
  89. Elton E , Hanson BL , Qaseem T , et al.   Diagnostic and therapeutic ERCP using an enteroscope and a pediatric colonoscope in long-limb surgical bypass patients . Gastrointest Endosc . 1998;47:62–67
  90. Wright BE , Cass OW , Freeman ML . ERCP in patients with long-limb Roux-en-Y gastrojejunostomy and intact papilla . Gastrointest Endosc . 2002;56:225–232
  91. Pimentel RR , Mehran A , Szomstein S , et al.   Laparoscopy-assisted transgastrostomy ERCP after bariatric surgery (case report of a novel approach) . Gastrointest Endosc . 2004;59:325–328
  92. Peters M , Papasavas PK , Caushaj PF , et al.   Laparoscopic transgastric endoscopic retrograde cholangiopancreatography for benign common bile duct stricture after Roux-en-Y gastric bypass . Surg Endosc . 2002;16:1106
  93. Gandotra V , Pillai N , Elfant AB , et al.   Endoscopic biliary sphincterotomy after gastric bypass surgery . J Clin Gastroenterol . 2004;38:380
  94. Huang CS , Farraye FA . Endoscopy after bariatric surgery . In:  Farraye FA ,  Forse RA editor. Bariatric Surgery (A Primer for Your Medical Practice) . Thorofare, NJ: Slack; 2006;p. 183–195
  95. Huang CS , Farraye FA . Endoscopy in the bariatric surgical patient . Gastroenterol Clin North Am . 2005;34:151–166

PII: S1096-2883(06)00031-3

doi: 10.1016/j.tgie.2006.03.002

Techniques in Gastrointestinal Endoscopy
Volume 8, Issue 2 , Pages 54-65 , April 2006

Article Tools

* Image Usage & Resolution