Introduction.- Metabolic Complications, Nutritional Deficiencies, and Medication Management following Metabolic Surgery.- Emergencies in Bariatric Surgery.- Management of Marginal Ulceration.- Staple Line Leak Following Laparoscopic Sleeve Gastrectomy.- Anastomotic Leak Following Gastric Bypass.- Gastro-Gastric Fistula Following Gastric Bypass.- Hiatal Hernia and Reflux Following Bariatric Surgery.- Gastric Band Erosion.- Chronic Abdominal Pain after Roux-en-Y Gastric Bypass.- Stricture Following Gastric Bypass and Vertical Sleeve Gastrectomy.- Weight Regain Following Bariatric Surgery and Revisional Surgery.- Internal Hernia and Small Bowel Obstruction After Roux- En-Y Gastric Bypass.- Endoscopic Interventions for Complications in Bariatric Surgery.- Pregnancy in the Bariatric Patient.- Acute and Chronic Complications Following Biliopancreatic Diversion with Duodenal Switch.
This text focuses on the complications following bariatric surgery. The focus is on the immediate and long term complications that would be important to both the general surgeon and those surgeons with specialty experience in bariatric surgery. Sections address the nutritional deficiencies following bariatric surgery with specific attention to Roux en Y gastric bypass and pancreatico-biliary diversion as well as the correction of these deficiencies with medical intervention as well as the indications for surgical revision or reversal. The text reviews the work-up of a bariatric patient with abdominal pain including the appropriate imaging and threshold for operative intervention and the techniques to achieve optimal visualization during this difficult situation. This section focuses on the operative management of anastomotic and staple line leaks and how to definitively manage these surgical emergencies as well as achieve source control and stabilization. Later chapters focus on specific complications following bariatric surgery with specific focus on RYGB, vertical sleeve gastrectomy (VSG), biliary pancreatic diversion, and gastric band. Complications include gastric fistula, gastric staple line disruption following VSG, gastro-jejunal leak following RYGB, relux following bariatric surgery, and failure of weight loss following bariatric surgery. These sections are written by experts in the field of bariatrics and include evidence based medicine as well as expert opinion on the management of bariatric complications. The sections provide a review of the literature and references at the close of each section.
Complications in Bariatric Surgery will serve as a resource for both the general surgeon who handles bariatric emergencies as well as the bariatric specialist.
Diego Camacho, MD, FACSDirector Minimally Invasive and Endoscopic SurgeryFellowship Program DirectorAssociate Professor of SurgeryAlbert Einstein College of MedicineMontefiore Medical CenterBronx, NY, USA
Natan Zundel, MD FACS FASMBSProfessor of SurgeryVice- Chairman Department of SurgeryFIU Herbert Wertheim College of MedicineMiami, FL, USA