Complications in Bariatric Surgery

1. Front Matter

   Pages i-ix

   PDF

2. Introduction

   • Diego Camacho, Dina Podolsky

   Pages 1-3

3. Metabolic Complications, Nutritional Deficiencies, and Medication Management Following Metabolic Surgery

   • Christopher D. Still, Peter Benotti, Daniela Hangan, Fahad Zubair

   Pages 5-33

4. Emergencies in Bariatric Surgery

   • John-Paul Bellistri, Erin Moran-Atkin

   Pages 35-44

5. Management of Marginal Ulceration

   • Jenny Choi, Caitlin Polistena

   Pages 45-58

6. Staple Line Leak Following Laparoscopic Sleeve Gastrectomy

   • Michel Gagner

   Pages 59-75

7. Anastomotic Leak Following Gastric Bypass

   • Alfredo D. Guerron, Camila B. Ortega, Dana Portenier

   Pages 77-84

8. Gastro-Gastric Fistula Following Gastric Bypass

   • Giulio Giambartolomei, Emanuele Lo Menzo, Samuel Szomstein, Raul Rosenthal

   Pages 85-99

9. Hiatal Hernia and Reflux Following Bariatric Surgery

   • Patrick J. McLaren, Samer G. Mattar

   Pages 101-114

10. Gastric Band Erosion

    • Melissa Felinski, Maamoun A. Harmouch, Erik B. Wilson, Shinil K. Shah

    Pages 115-122

11. Chronic Abdominal Pain After Roux-en-Y Gastric Bypass

    • Pearl Ma, Kelvin Higa

    Pages 123-137

12. Stricture Following Gastric Bypass and Vertical Sleeve Gastrectomy

    • Jacques Himpens

    Pages 139-146

13. Weight Regain Following Bariatric Surgery and Revisional Surgery

    • Cynthia Weber, Bipan Chand

    Pages 147-165

14. Internal Hernia and Small Bowel Obstruction After Roux-en-Y Gastric Bypass

    • Adel Alhaj Saleh, Mujjahid Abbas

    Pages 167-178

15. Endoscopic Interventions for Complications in Bariatric Surgery

    • Manoel Galvão Neto, Lyz Bezerra Silva, Luiz Gustavo de Quadros, Josemberg Marins Campos

    Pages 179-191

16. Pregnancy in the Bariatric Patient

    • Maria S. Altieri, Aurora D. Pryor

    Pages 193-205

17. Acute and Chronic Complications Following Biliopancreatic Diversion with Duodenal Switch

    • Mitchell Roslin, Sarah Pearlstein, Sarah Sabrudin, Sharon Zarabi, Billie Borden

    Pages 207-220

18. Back Matter

    Pages 221-225

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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.

• Metabolic derangements
• bariatric emergencies
• vertical sleeve gastrectomy
• Gastric fistula
• Anastomotic leak
• Intussusception

“The book is very clearly written for practicing bariatric surgeons. The authors are all leaders in their field and their message is clearly conveyed. With that said, given the increasing prevalence of bariatric surgery and the relative low number of bariatric surgeons, these complications will increasingly be managed by community general surgeons. Given this fact, this is also an excellent resource for acute care surgeons who see patients with a wide breadth of pathology.” (Peter Nau, Doody's Book Reviews, July, 2018)

• Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, USA

  Diego Camacho

• Department of General Surgery, FIU Herbert Wertheim College of Medicine, Miami, USA

  Natan Zundel

Diego Camacho, MD, FACS
Director Minimally Invasive and Endoscopic Surgery
Fellowship Program Director
Associate Professor of Surgery
Albert Einstein College of Medicine
Montefiore Medical Center
Bronx, NY, USA



Natan Zundel, MD FACS FASMBS
Professor of Surgery
Vice- Chairman Department of Surgery
FIU Herbert Wertheim College of Medicine
Miami, FL, USA

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