Gastroenterologia y hepatologia · 2011
[Endoscopic management of the complications of bariatric surgery. Experience of more than 400 interventions].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Fernández-Esparrach Gloria, Córdova Henry, Bordas Josep M, Gómez-Molins Inés, Ginès Angels, Pellisé Maria, Sendino Oriol, González-Suárez Begoña, Cárdenas Andres, Balderramo Domingo, Lacy Antonio M, Delgado Salvadora, Llach Josep
Аннотация
BACKGROUND: Many patients who undergo bariatric surgery develop postoperative gastrointestinal complications that can require upper gastrointestinal endoscopy.
OBJECTIVE: To prospectively describe the gastrointestinal complications diagnosed by endoscopy after bariatric surgery.
PATIENTS AND METHODS: We followed up patients undergoing laparoscopic bariatric surgery between January 1998 and December 2006. The following data were recorded: age, sex, body mass index, comorbidity, type and duration of bariatric surgery, clinical presentation of complications, time of presentation, endoscopic treatment and follow-up.
RESULTS: A total of 474 patients underwent surgery (74% women, 26% men) with a mean age of 44±11 years (range, 15-66) and a mean BMI of 47±7 (range, 33-82). The most frequent surgical procedure was Roux-en-Y gastric bypass (90%). We identified 68 complications (14%) requiring upper gastrointestinal endoscopy: anastomotic stenosis (21 cases, 5%), upper gastrointestinal hemorrhage (16 cases, 3.6%), epigastric pain (12 cases, 2.5%), vomiting (7 cases, 1.5%), heartburn (6 cases, 1.3%) and other (6 cases, 1.3%). No prognostic factor for the development of complications requiring postsurgical endoscopy was identified.
CONCLUSIONS: Anastomotic stenosis is the most common complication requiring endoscopic treatment after bariatric surgery. Upper gastrointestinal bleeding in the immediate and late postoperative period can be safely and effectively treated with endoscopic techniques.
OBJECTIVE: To prospectively describe the gastrointestinal complications diagnosed by endoscopy after bariatric surgery.
PATIENTS AND METHODS: We followed up patients undergoing laparoscopic bariatric surgery between January 1998 and December 2006. The following data were recorded: age, sex, body mass index, comorbidity, type and duration of bariatric surgery, clinical presentation of complications, time of presentation, endoscopic treatment and follow-up.
RESULTS: A total of 474 patients underwent surgery (74% women, 26% men) with a mean age of 44±11 years (range, 15-66) and a mean BMI of 47±7 (range, 33-82). The most frequent surgical procedure was Roux-en-Y gastric bypass (90%). We identified 68 complications (14%) requiring upper gastrointestinal endoscopy: anastomotic stenosis (21 cases, 5%), upper gastrointestinal hemorrhage (16 cases, 3.6%), epigastric pain (12 cases, 2.5%), vomiting (7 cases, 1.5%), heartburn (6 cases, 1.3%) and other (6 cases, 1.3%). No prognostic factor for the development of complications requiring postsurgical endoscopy was identified.
CONCLUSIONS: Anastomotic stenosis is the most common complication requiring endoscopic treatment after bariatric surgery. Upper gastrointestinal bleeding in the immediate and late postoperative period can be safely and effectively treated with endoscopic techniques.
Предметные рубрики MeSH
AdolescentAdultAgedBariatric SurgeryConstriction, PathologicDilatationEndoscopy, GastrointestinalFemaleFollow-Up StudiesGastric BypassGastrointestinal HemorrhageHeartburnHospitals, UniversityHumansIncidenceLaparoscopyMaleMiddle AgedPainPostoperative ComplicationsProspective StudiesSpainStomach UlcerVideo RecordingVomitingYoung Adult