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MINERVA GASTROENTEROLOGICA E DIETOLOGICA
A Journal on Gastroenterology, Nutrition and Dietetics
Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index
EARLY DIAGNOSIS AND MANAGEMENT OF GASTRO-ENTERIC CANCER
Minerva Gastroenterologica e Dietologica 2013 December;59(4):387-400
Endoscopic resolution of secondary complications in bariatric surgery
Casas Rodríguez F. 1, Albis R. 1, Gaidhane M. 2, Rondon-Clavo C. M. 2, Kahaleh M. 2 ✉
1 Clinica Universitaria Reina Sofia Fundacion Universitaria Sanitas Facultad de Medicina Programa de Gastroenterologia y Endoscopia Digestiva, Bogotà, Colombia;
2 Department of Medicine Division of Gastroenterology and Hepatology Weil Cornell Medical College, New York, NY, USA
Morbid obesity has become an epidemic in past few decades. It has become an important aspect of public health-focused issues due its impact on several chronic diseases, including diabetes and cardiovascular diseases. Consequently the number of bariatric surgeries have increased in the past few years due to improved techniques and devices. A multidisciplinary approach such as surgical intervention and diet modification has yielded effective and sustainable weight loss in morbidly obese patients.
However, as with as surgical procedure, immediate and long term complications may occur after bariatric surgery. Approximately 5% to 10% of patients who undergo bariatric surgery develop early complications (also known as perioperative complications), those that appear within the first 30 days of surgery, and 9% to 25% show sign of problems after the initial 30 days (late complications). Complications of bariatric surgery are related to the type of procedure performed and this review will describe the most common complication and their endoscopic management.