Abstract
The number of bariatric surgical operations performed in the United States has been steadily increasing for the last 5 years. It is estimated that 228,000 weight-loss surgeries were performed in 2017. Of those, 59% were sleeve gastrectomy, 18% were gastric bypass, 3% were gastric band, and 1% were biliopancreatic diversion with duodenal switch. The remaining 14% were revisional procedures.
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Encinosa WE, Bernard DM, Du D, Steiner CA. Recent improvements in bariatric surgery outcomes. Med Care. 2009;47(5):531.
Santry HP, Gillen DL, Lauderdale DS. Trends in bariatric surgical procedures. JAMA. 2005;294:1909–17.
Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W, Pories W, Courcoulas A, McCloskey C, Mitchell J, Patterson E, Pomp A, Staten MA, Yanovski SZ, Thirlby R, Wolfe B. Longitudinal assessment of bariatric surgery (LABS) consortium. N Engl J Med. 2009;361(5):445.
Kelly JJ, Shikora S, Jones DB, Hutter MH, Robinson MK, Romanelli J, Buckley F, Lederman A, Blackburn GL, Lautz D. Best practice updates for surgical care in weight loss surgery. Obesity (Silver Spring). 2009;17(5):863.
Schneider BE, Villegas L, Blackburn GL, Mun EC, Critchlow JF, Jones DB. Laparoscopic gastric bypass surgery: outcomes. J Laparoendosc Adv Surg Tech A. 2003;13(4):247.
Nguyen NT, Goldman C, Rosenquist CJ, Arango A, Cole CJ, Lee SJ, Wolfe BM. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234(3):279.
Ukleja A, Afonso BB, Pimentel R, Szomstein S, Rosenthal R. Outcome of endoscopic balloon dilation of strictures after laparoscopic gastric bypass. Surg Endosc. 2008;22(8):1746.
Suggs WJ, Kouli W, Lupovici M, Chau WY, Brolin RE. Complications at gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass: comparison between 21- and 25-mm circular staplers. Surg Obes Relat Dis. 2007;3(5):508.
Barba CA, Butensky MS, Lorenzo M, Newman R. Endoscopic dilation of gastroesophageal anastomosis stricture after gastric bypass. Surg Endosc. 2003;17(3):416.
Go MR, Muscarella P 2nd, Needleman BJ, Cook CH, Melvin WS. Endoscopic management of stomal stenosis after Roux-en-Y gastric bypass. Surg Endosc. 2004;18(1):56.
Dallal RM, Cottam D. “Candy cane” Roux syndrome--a possible complication after gastric bypass surgery. Surg Obes Relat Dis. 2007;3(3):408–10.
Aryale AH, Fayezizadeh M, Wen Y, Alshehri M, Abbas M, Khaitan L. Candy cane syndrome. An underappreciated cause of abdominal pain and nausea after Roux en Y gastric bypass surgery. Surg Obes Relat Dis. 2017;13:1501–5. https://doi.org/10.1016/j.soard.2017.04.006.
Khan K, Rodriguez R, Saeed S, Persaud A, Ahmed L. A case series of candy cane limb syndrome after laparoscopic Roux-en-Y gastric bypass. J Surg Case Rep. 2018;2018(10):rjy244. Epub 2018 Oct 5.
Kellogg TA. Revisional bariatric surgery. Surg Clin North Am. 2011;91:1353–71.
Nguyen NT, Hinojosa MW, Gray J, Fayad C. Reoperation for marginal ulceration. Surg Endosc. 2007;21:1919–21.
Higa KD, Boone KB, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients--what have we learned? Obes Surg. 2000;10(6):509.
Higa KD, Ho T, Boone KB. Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. Obes Surg. 2003;13(3):350.
Iannuccilli JD, Grand D, Murphy BL, Evangelista P, Roye GD, Mayo-Smith W. Sensitivity and specificity of eight CT signs in the preoperative diagnosis of internal mesenteric hernia following Roux-en-Y gastric bypass surgery. Clin Radiol. 2009;64(4):373–80. https://doi.org/10.1016/j.crad.2008.10.008. Epub 2008 Dec 16.
Al Harakeh AB, Kallies KJ, Borgert AJ, Kothari SN. Bowel obstruction rates in antecolic/antegastric versus retrocolic/retrogastric Roux limb gastric bypass: a meta-analysis. Surg Obes Relat Dis. 2016;12(1):194–8. Epub 2015 Feb 11.
Stenberg E, Szabo E, Ågren G, Ottosson J, Marsk R, Lönroth H, Boman L, Magnuson A, Thorell A, Näslund I. Closure of mesenteric defects in laparoscopic gastric bypass: a multicentre, randomised, parallel, open-label trial. Lancet. 2016;387(10026):1397.
Lee JK, Van Dam J, Morton JM, et al. Endoscopy is accurate, safe, and effective in the assessment and management of complications following gastric bypass surgery. Am J Gastroenterol. 2009;104:575–82.
Sanyal AJ, Sugerman HJ, Kellum JM, Engle KM, Wolfe L. Stomal complications of gastric bypass: incidence and outcome of therapy. Am J Gastroenterol. 1992;87(9):1165.
Patel RA, Brolin RE, Gandhi A. Revisional operations for marginal ulcer after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2009;5:317–22.
Schirmer B, Erenoglu C, Miller A. Flexible endoscopy in the management of patients undergoing Roux-en-Y gastric bypass. Obes Surg. 2002;12:634–8.
Ren CJ, Fielding GA. Laparoscopic adjustable gastric banding: surgical technique. J Laparoendosc Adv Surg Tech A. 2003;13(4):257–63.
Weiner R, Bockhorn H, Rosenthal R, Wagner D. A prospective randomized trial of different laparoscopic gastric banding techniques for morbid obesity. Surg Endosc. 2001;15:63–8.
Penna M, Markar SR, Venkat-Raman V, et al. Linear-stapled versus circular-stapled laparoscopic gastrojejunal anastomosis in morbid obesity: meta-analysis. Surg Laparosc Endosc Percutan Tech. 2012;22:95–101.
St. Jean MR, Dunkle-Blatter SE, Petrick AT. Laparoscopic management of perforated marginal ulcer after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2006;2:668.
Goitein D. Late perforation of the jejuno-jejunal anastomosis after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2005;13(6):880–2.
Lublin M, McCoy M, Waldrep DJ. Perforating marginal ulcers after laparoscopic gastric bypass. Surg Endosc. 2006;20:51–4.
Gumbs AA, Duffy AJ, Bell RL. Incidence and management of marginal ulceration after laparoscopic Roux-Y gastric bypass. Surg Obes Relat Dis. 2006;2:460–3.
Madan AK, DeArmond G, Ternovits CA, et al. Laparoscopic revision of the gastrojejunostomy for recurrent bleeding ulcers after past open revision gastric bypass. Obes Surg. 2006;16:1662–8.
Chahine E, Kassir R, Dirani M, Joumaa S, Debs T, Chouillard E. Surgical management of gastrogastric fistula after Roux-en-Y gastric bypass: 10-year experience. Obes Surg. 2018;28(4):939–44. https://doi.org/10.1007/s11695-017-2949-2.
Pauli EM, Beshir H, Mathew A. Gastrogastric fistulae following gastric bypass surgery-clinical recognition and treatment. Curr Gastroenterol Rep. 2014;16(9):405. https://doi.org/10.1007/s11894-014-0405-1.
Palermo M, Acquafresca PA, Rogula T, Duza GE, Serra E. Late surgical complications after gastric by-pass: a literature review. Arq Bras Cir Dig. 2015;28(2):139–43. https://doi.org/10.1590/S0102-67202015000200014.
Ribeiro-Parenti L, De Courville G, Daikha A, Arapis K, Chosidow D, Marmuse JP. Classification, surgical management and outcomes of patients with gastrogastric fistula after Roux-En-Y gastric bypass. Surg Obes Relat Dis. 2017;13(2):243–8. https://doi.org/10.1016/j.soard.2016.09.027. Epub 2016 Sep 28.
Daellenbach L, Suter M. Jejunojejunal intussusception after Roux-en-Y gastric bypass: a review. Obes Surg. 2011;21(2):253–63. https://doi.org/10.1007/s11695-010-0298-5.
Varban O, Ardestani A, Azagury D, Lautz DB, Vernon AH, Robinson MK, Tavakkoli A. Resection or reduction? The dilemma of managing retrograde intussusception after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2013;9(5):725–30. https://doi.org/10.1016/j.soard.2012.05.004. Epub 2012 May 18.
Simper SC, Erzinger JM, McKinlay RD, et al. Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group’s experience of 23 cases. Surg Obes Relat Dis. 2008;4:77–83.
Simper SC, Erzinger JM, McKinlay RD, Smith SC. Laparoscopic reversal of gastric bypass with sleeve gastrectomy for treatment of recurrent retrograde intussusception and Roux stasis syndrome. Surg Obes Relat Dis. 2010;6(6):684–8. https://doi.org/10.1016/j.soard.2010.08.002. Epub 2010 Aug 13.
Kim J, Azagury D, Eisenberg D, DeMaria E, Campos GM, American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS position statement on prevention, detection, and treatment of gastrointestinal leak after gastric bypass and sleeve gastrectomy, including the roles of imaging, surgical exploration, and nonoperative management. Surg Obes Relat Dis. 2015;11(4):739–48. https://doi.org/10.1016/j.soard.2015.05.001. Epub 2015 May 5.
Quartararo G, Facchiano E, Scaringi S, Liscia G, Lucchese M. Upper gastrointestinal series after Roux-en-Y gastric bypass for morbid obesity: effectiveness in leakage detection. A systematic review of the literature. Obes Surg. 2014;24(7):1096–101. https://doi.org/10.1007/s11695-014-1263-5.
Lupoli R, Lembo E, Saldalamacchia G, Avola CK, Angrisani L, Capaldo B. Bariatric surgery and long-term nutritional issues. World J Diabetes. 2017;8(11):464–74. https://doi.org/10.4239/wjd.v8.i11.464.
Xanthakos SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin N Am. 2009;56(5):1105–21. https://doi.org/10.1016/j.pcl.2009.07.002.
Weng TC, Chang CH, Dong YH, Chang YC, Chuang LM. Anaemia and related nutrient deficiencies after Roux-en-Y gastric bypass surgery: a systematic review and meta-analysis. BMJ Open. 2015;5(7):e006964. https://doi.org/10.1136/bmjopen-2014-006964.
Parrott J, Frank L, Rabena R, Craggs-Dino L, Isom KA, Greiman L. American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis. 2017;13(5):727. Epub 2017 Jan 19.
Stein J, Stier C, Raab H, Weiner R. Review article: the nutritional and pharmacological consequences of obesity surgery. Aliment Pharmacol Ther. 2014;40:582.
Al-Matary A, Hussain M, Ali J. Selenium: a brief review and a case report of selenium responsive cardiomyopathy. BMC Pediatr. 2013;13:39.
Shah M, Sharma A, Wermers RA, et al. Hypocalcemia after bariatric surgery: prevalence and associated risk factors. Obes Surg. 2017;27:2905–11.
Papasavas PK, Yeaney WW, Caushaj PF, Keenan RJ, Landreneau RJ, Gagné DJ. Perforation in the bypassed stomach following laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13(5):797.
Sandrasegaran K, Rajesh A, Lall C, Gomez GA, Lappas JC, Maglinte DD. Gastrointestinal complications of bariatric Roux-en-Y gastric bypass surgery. Eur Radiol. 2005;15(2):254–62. Epub 2004 Nov 10.
Arapis K, Tammaro P, Goujon G, Becheur H, Augustin P, Marmuse JP. Elevated plasma pancreatic enzyme concentrations after Roux-en-Y gastric bypass may indicate closed loop obstruction. Ann R Coll Surg Engl. 2017;99(2):e62–4. https://doi.org/10.1308/rcsann.2016.0334. Epub 2016 Oct 28.
Keyser EJ, Ahmed NA, Mott BD, Tchervenkov J. Double closed loop obstruction and perforation in a previous Roux-en-Y gastric bypass. Obes Surg. 1998;8(4):475–9.
Gagner M, Gentileschi P, de Csepel J, Kini S, Patterson E, Inabnet WB, Herron D, Pomp A. Laparoscopic reoperative bariatric surgery: experience from 27 consecutive patients. Obes Surg. 2002;12(2):254.
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Endoscopic findings of gastro-gastric fistula showing communication of the pouch to the remnant stomach (MP4 20624 kb)
The upper GI contrast study showing filling of the remnant stomach through a fistula. (MP4 1807 kb)
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Sharma, S.K., Cottam, S., Sharma, R., Sharma, S., Cottam, D. (2020). Gastric Bypass Complications. In: Borao, F., Binenbaum, S., Matharoo, G. (eds) Revisional Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28273-8_8
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