Endoscopic approach for the treatment of bariatric surgery complications

Abstract

The incidence of bariatric surgery is increasing exponentially. The number of bariatric surgeries performed in the United States has significantly increased in the past decades. Complications of bariatric surgery can present days to years postoperatively. Advances in endoscopic procedures and technology has made it possible to address many complications endoscopically. We describe the most common complications after bariatric surgery and the endoscopic treatment options available to date.

Keywords

Bariatric surgery / advanced endoscopy / intraluminal surgery

References

[1] Ward ZJ,Cradock AL,Giles CM.Projected U.S. state-level prevalence of adult obesity and severe obesity..N Engl J Med2019;381:2440-50

[2] Cai JX,Kumbhari V.Endoscopic management of bariatric surgery complications..Surg Laparosc Endosc Percutan Tech2016;26:93-101

[3] Boules M,Haskins IN,Froylich D.Endoscopic management of post-bariatric surgery complications..World J Gastrointest Endosc2016;8:591-9 PMCID:PMC5027029

[4] da Rocha LCM,Arantes V.Endoscopic management of bariatric surgery complications: what the gastroenterologist should know..Rev Gastroenterol Mex2016;81:35-47

[5] Kumar N.Endoscopic management of complications after gastrointestinal weight loss surgery..Clin Gastroenterol Hepatol2013;11:343-53

[6] Valli PV.Review article including treatment algorithm: endoscopic treatment of luminal complications after bariatric surgery..Clin Obes2017;7:115-22

[7] ASMBS-SAGES. Bariatric endoscopy skill acquisition focused evaluation (BE-SAFE) 2019. Available from: https://besafe.asmbs.org/ [Last accessed on 14 Feb 2020]

[8] Sharma G,Boules M,Villamere J.Upper gastrointestinal endoscopy is safe and feasible in the early postoperative period after Roux-en-Y gastric bypass..Surgery2016;160:885-91

[9] Heneghan HM,Yenumula P,Brethauer SA.Incidence and management of bleeding complications after gastric bypass surgery in the morbidly obese..Surg Obes Relat Dis2012;8:729-35

[10] Fernandez-Esparrach G,Thompson CC.Endoscopic repair of gastrogastric fistula after Roux-en-Y gastric bypass: a less-invasive approach..Surg Obes Relat Dis2010;6:282-8

[11] Puli SR,Thompson CC.Use of self-expandable stents in the treatment of bariatric surgery leaks: a systematic review and meta-analysis..Gastrointest Endosc2012;75:287-93

[12] Rosenthal RJ.Dilating the stenotic gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass for morbid obesity: when things go wrong..J Gastrointest Surg2009;13:1561-3

[13] Ramage Jr JI,Baron TH,Zinsmeister AR.A prospective, randomized, double-blind, placebo-controlled trial of endoscopic steroid injection therapy for recalcitrant esophageal peptic strictures..Am J Gastroenterol2005;100:2419-25

[14] de Moura DTH,Aihara H.Endoscopic tunneled stricturotomy in the treatment of stenosis after sleeve gastrectomy..VideoGIE2019;4:68-71 PMCID:PMC6362310

[15] Spaniolas K,Crowley S,Docimo S.Association of long-term anastomotic ulceration after Roux-en-Y gastric bypass with tobacco smoking..JAMA Surg2018;153:862-4 PMCID:PMC6583878

[16] Dakin GF,Mikami D,Chand B.Endoluminal revision of gastric bypass for weight regain - a systematic review..Surg Obes Relat Dis2013;9:335-42

[17] Thompson CC,Chen YK,Miller L.Endoscopic suturing for transoral outlet reduction increases weight loss after Roux-en-Y gastric bypass surgery..Gastroenterology2013;145:129-37.e3

[18] El-Hayek K,Brethauer S.Complete endoscopic/transgastric retrieval of eroded gastric band: description of a novel technique and review of the literature..Surg Endosc2013;27:2974-9

[19] Hathorn KE,Thompson CC.Endoscopic management of gastroesophageal reflux disease after sleeve gastrectomy by use of the antireflux mucosectomy procedure..VideoGIE2019;4:251-3 PMCID:PMC6544871