Endoscopic Evaluation and Management of Late Complications After Bariatric Surgery: a Narrative Review

Vivek Kumbhari, Carel W. le Roux, Ricardo V. Cohen

Research output: Contribution to journalReview articlepeer-review

Abstract

Despite ongoing evolution in technique and a low mortality rate, clinicians may care for patients who suffer late complications (> 90 days of surgery) after bariatric surgery. Endoscopic techniques are used to identify and manage many of the late complications of the two most commonly performed bariatric surgeries: sleeve gastrectomy and Roux-en-Y gastric bypass. Stenosis at the incisura angularis and gastroesophageal reflux disease may occur in patients who have undergone a sleeve gastrectomy. Patients who underwent a Roux-en-Y gastric bypass can suffer marginal ulceration, gastrojejunal anastomotic stricture, and gastro-gastric fistula. Clinicians may also encounter biliary pathologies such as choledocholithiasis, chronic abdominal pain, and weight regain. This narrative review provides an update on the endoscopic evaluation and management of patients with late complications after sleeve gastrectomy or Roux-en-Y gastric bypass. Graphical abstract: [Figure not available: see fulltext.]

Original languageEnglish
Pages (from-to)4624–4633
Number of pages10
JournalObesity Surgery
Volume31
Issue number10
Early online date30 Jul 2021
DOIs
Publication statusE-pub ahead of print - 30 Jul 2021

Keywords

  • Bariatric surgery
  • Complications
  • Reflux
  • Stenosis
  • Weight regain

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