Management of complications after laparoscopic roux-en-Y gastric bypass

Minerva Chirurgica

Volumn 64, Issue 3, 2009, Pages 265-276

  Bell, B J ^a   Bour, E S ^a   Scott, J D ^a   Cobb, W S ^a   Carbonell, A M ^a  

^a UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE GREENVILLE   (United States)

Author keywords

Comorbidities; Gastric bypass; Obesity

Indexed keywords

ARTICLE; BODY MASS; HOSPITALIZATION; HUMAN; LAPAROSCOPY; METHODOLOGY; MORBID OBESITY; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATION; QUALITY OF LIFE; REOPERATION; RISK ASSESSMENT; RISK FACTOR; STOMACH BYPASS; TREATMENT OUTCOME; WEIGHT REDUCTION;

BODY MASS INDEX; GASTRIC BYPASS; HUMANS; LAPAROSCOPY; OBESITY, MORBID; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATIONS; QUALITY OF LIFE; REOPERATION; RISK ASSESSMENT; RISK FACTORS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; WEIGHT LOSS;

EID: 70350450532     PISSN: 00264733     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (100)

1. Strum R. The effects of obesity, smoking and problem drinking on chronic medical problems and health care costs. Health Affairs 2002;21:245-253
2. Strum R, Wells KB. Does obesity contribute as much to morbidity as poverty or smoking? Public Health 2001;115:229-235
3. Christou NV, Sampalis JS, Liberman M, Look D, Auger S, McLean AP et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg 2004;240:416-424
4. 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;10:509-513
5. DeMaria EJ, Sugerman HJ, Kellum JM, Meador JG, Wolfe LG. Results of 281 consecutive total laparoscopic Roux-en-Y gastric bypasses to treat morbid obesity. Ann Surg 2002;235:640-647
6. Nguyen NT, Rivers R, Wolfe BM. Factors associated with operative outcomes in laparoscopic gastric bypass. J Am Coll Surg 2003;197:548-555
7. Podnos YD, Jimenez JC, Wilson SE, Stevens Melinda, Nguyen NT. Complications after laparoscopic gastric bypass. Arch Surg 2003;138:957-961.
8. Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y 500 patients: technique and results, with 3- 60 month follow up. Obes Surg 2000;10:233-239
9. Parikh MS, Laker S, Weiner M, Hajiseyedjavadi O, Ren CJ. Objective comparison of complications resulting from laparoscopic bariatric procedures. J Am Coll Surg 2006;202:252-261.
10. Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en- Y gastric bypass for morbid obesity. Ann Surg 2000;232:515-529
11. Higa KD, Boone KB, Ho T, Davies OG. Laparoscopic Roux-en-Y gastric bypass for morbid obesity: technique and preliminary results of our first 400 patients. Arch Surg 2000;135:1029-1034
12. Tejirian T, Jensen C, Lewis C, Dutson E, Mehran A. Laparoscopic gastric bypass at a large academic medical center: lessons learned from the first 1000 cases. Am Surg 2008;74:962-966
13. White S, Brooks E, Jurikova L, Stubbs RS. Long-term outcomes after gastric bypass. Obes Surg 2005;15: 155-163
14. Schneider BE, Vellegas L, Blackburn GL, Mun EC, Critchlow JF, Jones DB. Laparoscopic gastric bypass: outcomes. J Laparoendosc Adv Surg Tech 2003;13: 247-255
15. Prystowsky JB, Morasch MD, Eskandari MK, Hungness ES, Nagle AP. Prospective analysis of the incidence of deep venous thrombosis in bariatric surgery patients. Surgery 2005;138:759-765
16. Scholten DJ, Hoedema RM, Scholten SE. A comparison of two different prophylactic dose regimens of low molecular weight heparin in bariatric surgery. Obes Surg 2002;12:19-24.
17. Ojo P, Asiyanbola B, Valin E, Reinhold R. Post discharge prophylactic anticoagulation in gastric bypass patient - how safe? Obes Surg 2008;18:791-796.
18. Westling A, Bergqvist D, Bostrom A, Karacagil S, Gustavsson S. Incidence of deep venous thrombosis in patients undergoing obesity surgery. World J Surg 2002;26:470-473
19. Miller MT, Rovito PF. An approach to venous thromboembolism prophylaxis in laparscopic Roux-en-Y gastric bypass surgery. Obes Surg 2004;14:731-737
20. Nguyen NT, Hinojosa MW, Fayad C, Varela E, Konyalian V, Stamos MJ, et al. Laparoscopic surgery is associated with a lower incidence of venous thromboembolism compared with open surgery. Ann Surg 2007;246:1021-1027
21. Gargiulo NJ, Veith FJ, Lipsitz EC, Suggs WD, Ohki T, Goodman E et al. The incidence of pulmonary embolism in open versus laparscopic gastric bypass. Ann Vasc Surg 2007;12:556-559
22. Hirsch J, Guyatt G, Albers GW, Harrington R, Schunemann HJ. Antithrombotic and thrombolytic therapy: American College of Chest Physicians evidence-based clinical practice guidelines (8th edition). Chest 2008;133:71S-105S.
23. Wu EC, Barba CA. Current practices in the prophylaxis of venous thromboembolism in bariatric surgery. Obes Surg 2000;10:7-14.
24. Eriksson S, Backman L, Ljungstrom KG. The incidence of clinical postoperative thombosis after gastric surgery for obesity during 16 years. Obes Surg 1997;7:332-335
25. Kothari SN, Lambert PJ, Mathiason MA. A comparison of thromboembolic bleeding events following laparoscopic gastric bypass in patients treated with prophylactic regimens of unfractionated heparin or enoxa- parin. Am J Surg 2007;194:709-711
26. Carmody BJ, Sugerman HJ, Kellum JM, Jamal MK, Johnson JM, Carbonell AM et al. Pulmonary embolism complicating bariatric surgery: detailed analysis of a single institution's 24-year experience. J Am Coll Surg 2006;203:831-837
27. Escalante-Tattersfield T, Tucker O, Fajnwaks P, Fajnwaks P, Szomstein S, Rosenthal RJ. Incidence of deep vein thrombosis in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. Surg Obes and Relat Dis 2008;4:126-30.
28. Kardys CM, Stoner MC, Manwaring ML, Manwaring ML, Barker M, MacDonald KG et al. Safety and efficacy of intravascular ultrasound-guided inferior vena cava filter in super obese bariatric patients. Surg Obes Relat Dis 2008;4:50-54
29. Fernandez AZ, DeMaria EJ, Tichansky DS, Kellum JM, Wolfe LG, Meador J et al. Experience with over 3,000 open and laparoscopic bariatric procedures: multivariate analysis of factors related to leak and resultant mortality. Surg Endosc 2004;18:193-197
30. Marshall JS, Srivastava A, Gupta SK, Rossi TR, DeBord JR. Roux-en-Y gastric bypass leak complications. Arch Surg 2003;138:520-524
31. Buckwalter JA, Herbst CA. Leaks occurring after gastric bariatric operations. Surgery 1987;103:156-160
32. Gonzalez R, Sarr M, Smith CD, Baghai M, Kendrick M, Szomstein S et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J am Coll Surg 2007;204:47-55. (Pubitemid 44960043)
33. Ballesta C, Berindoague R, Cabrera M, Palau M, Gonzales M. Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass. Obes Surg 2008;18:623-630
34. Edwards MA, Jones DB, Ellsmere J, Grinbaum R, Scneider BE. Anastomotic leak following antecolic versus retrocolic laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 2007;17:292-297
35. Gonzalez R, Haines K, Gallagher SF, Murr MM. Does experience preclude leaks in laparoscopic gastric bypass?, Surg Endosc 2006;20:1687-1692
36. Gonzalez R, Nelson LG, Gallagher SF, Murr MM. Anastomotic leaks after laparoscopic gastric bypass. Obes Surg 2004;14:1299-1307
37. Arteaga JR, Huerta S, Livingston EH. Management of gastrojejunal anastomotic leaks after Roux-en-Y gastric bypass. Am Surg 2002;68:1061-1065
38. Hamilton EC, Sims TL, Hamilton T, Mullican MA, Jones DB, Provost DA. Clinical predictors of leak after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc 2003;17:679-684
39. Tichansky DS, DeMaria EJ, Fernandez AZ, Kellum JM, Wolfe LG, Meador JG et al. Postoperative complications are not increased in super-obese patients who undergo laparoscopic Roux-en-Y gastric bypass. Surg Endosc 2005;19:939-941
40. Doraiswamy A, Rasmussen JJ, Pierce J, Fuller W, Ali MR. The utility of routine postoperative upper GI series following laparoscopic gastric bypass. Surg Endosc 2007;21:2159-2162
41. Madan AK, Stoecklein HH, Ternovitis A, Tichansky DS, Phillips JC. Predictive value of upper gastrointestinal studies versus clinical signs for gastrointestinal leaks after laparoscopic gastric bypass. Surg Endosc 2007;21:194-196.
42. Maher JW, Hawver M, Pucci A, Wolfe LG, Meador JG, Kellum JM. Four hundred fifty consecutive laparoscopic Roux-en-Y gastric bypasses with no mortality and declining leak rates and lengths of stay in a bariatric training program. J Am Coll Surg 2008;206: 940-944
43. Nguyen NT, Longoria M, Chalifoux S, Wilson SE. Gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg 2004;14:1308-1312
44. Fernandez-Esparrach G, Bordas JM, Pellise M, Gimeno-Garcia AZ, Lacy A, Delgado S et al. Endoscopic management of early GI hemorrhage after laparoscopic gastric bypass. Gastrointest Endosc 2008;67:552-555
45. Jamil LH, Krause KR, Chengelis DL, Jury RP, Jackson CM, Cannon ME et al. Endoscopic management of early upper gastrointestinal hemorrhage following laparoscopic Roux-en-Y gastric bypass. Am J Gastroenterol 2008;103:86-91.
46. 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;3:508-514
47. Nguyen NT, Rivers R, Wolfe BM. Early gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg 2003;13:62-5.
48. Huang CS, Farraye F. Endoscopy in the bariatric surgical patient. Gastroenterol Clin N Am 2005;34:151-166.
49. Capella RF, Iannace VA, Capella JF. Bowel obstruction after open and laparoscopic gastric bypass surgery. J Am Coll Surg 2006;203:328-335
50. Ianelli A, Facchiano E, Gugenheim J. Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 2006;16:1265-1271
51. Champion JK, Williams M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg 2003;13;596-600.
52. Madan AK, Menzo Lo, Dhawan N, Tichansky DS. Internal hernias and nonclosure of mesenteric defects during laparoscopic Roux-en-Y gastric bypass. Obes Surg 2008 [Epub ahead of print].
53. Finnell CW, Madan AK, Tichansky DS, Ternovits C, Taddeucci RJ. Non-closure or defects during laparosopic Roux-en-Y gastric bypass. Obes Surg 2007;17:145-148
54. Cho M, Pinto D, Carrodeguas L, Lascano C, Soto F, Whipple O et al. Frequency and management of internal hernias after laparscopic antecolic antegastric Roux-en-Y gastric bypass without division of the small bowel mesentery or closure of mesenteric defects: review of 1400 consecutive cases. Surg Obes Relat Dis 2006;2:87-91.
55. Steele KE, Prokopowicz GP, Magnuson T, Lidor A, Schweitzer M. Laparoscopic antecolic Roux-en-Y gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach. Surg Endosc 2008;22:2056-2061.
56. Carmody B, DeMaria EJ, Jamal M, Johnson J, Carbonell A, Kellum J et al. Internal hernia after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2005;1:543-548
57. Nguyen NT, Huerta S, Gelfand, Stevens CM, Jim J. Bowel obstruction after laparoscopic Roux-en-Y gastric bypass. Obes Surg 2004;14:190-196
58. Brolin RE. The antiobstruction stitch in stapled Roux-en-Y enteroenterostomy. Am J Surg 1995; 169:355-357
59. Parakh S, Soto E, Merola S. Diagnosis and management of internal hernias after laparoscopic gastric bypass. Obes Surg 2007;17:1498-1502
60. Comeali E, Gagner M, Inabnet WB, Herron DM, Quinn TM, Pomp A. Symptomatic internal hernias after laparoscopic bariatric surgery. Surg Endosc 2005;19: 34-39
61. Higa KD, Ho T, Boone KB. Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment, and prevention. Obes Surg 2003;13:350-354
62. Eckhauser A, Torquati A, Youssef Y, Kaiser JL, Richards WO. Internal hernia: postoperative complication of Roux-en-Y gastric bypass surgery. Am Surg 2006;72:581-585
63. Lockhart ME, Tessler FN, Canon CL, Smith JK, Larrison MC, Fineberg NS et al. Internal hernia after gastric bypass: sensitivity and specificity of seven CT signs with surgical correlation and controls. AJR 2007;188: 745-750
64. Go MR, Muscarella P, Needleman BJ, Cook CH, Melvin WS. Endoscopic management of stomal stenosis after Roux-en-Y gastric bypass, Surg Endosc 2004;18:56-59
65. Nguyen NT, Stevens CM, Wolfe BM. Incidence and outcome of anastomotic stricture after laparoscopic gastric bypass. J Gastrointest Surg 2003;7:997-1003.
66. Csendes A, Burgos AM, Burdiles P. Incidence of anastomotic strictures after gastric bypass: a prospective consecutive routine endoscopic study 1 month and 17 months after surgery in 441 patients with morbid obesity. Obes Surg 2009;19:269-273
67. Ahmad J, Martin J, Ikramuddin S, Schauer P, Slivka A. Endoscopic balloon dilation of gastroenteric anastomotic stricture after laparosopic gastric bypass. Endoscopy 2003;35:725-728
68. Jones WB, Myers KM, Traxler LB, Bour ES. Clinical results using bioabsorbable staple line reinforcement for circular staplers. Am Surg 2008;74:462-468
69. Fisher BL, Atkinson JD, Cottam D. Incidence of gas-toenterostomy stenosis in laparoscopic Roux-en-Y gastric bypass using 21- or 25-mm circular stapler: a randomized prospective blinded study. Surg Obes Relat Dis 2007;3:176-179
70. Barba CA, Butensky MS, Lrenzo M. Endoscopie dilation of gastroesophageal anastomosis stricture after gastric bypass. Surg Endosc 2003;17:416-420
71. Sataloff DM, Lieber CP, Seinige UL. Strictures following gastric stapling for morbid obesity: results of endoscopic dilatation. Am Surg 1990;56:167-174
72. Capella JF, Capella RF. Gastro-gastric fistulas and marginal ulcers in gastric bypass procedures for weight reduction. Obes Surg 1999;9:22-27
73. Cucchi SG, Pories WJ, MacDonald, Morgan EJ. Gastrogastric fistulas: a complication of divided gastric bypass surgery. Ann Surg 1995;221:387-391
74. Cho M, Kaidar-Person O, Szomstein S, Rosenthal RJ. Laparoscopic remnant gastrectomy: a novel approach to gastrogastric fistula after Roux-en-Y gastric bypass for morbid obesity. J Am Coll Surg 2007;204:617-624
75. Carrodeguas L, Szomstein S, Soto F, Whipple O, Simpfendorfer C, Gonzalvo JP et al. Management of gastrogastric fistulas after divided Roux-en-Y gastric bypass for morbid obesity: analysis of 1292 consecutive patients and review of literature. Surg Obes Relat Dis 2005;1:467-474
76. Filho AJ, Kondo W, Nassif LS, Garcia MJ, de Almeida Tirapelle R, Dotti CM. Gastrogastric fistula: a possible complication of Roux-en-Y gastric bypass. JSLS 2006;10:326-331
77. Binenbam SJ, Dressner RM, Borao FJ. Laparoscopic repair of a free perforation of a marginal ulcer after Roux-en-Y gastric bypass: a safe alternative to open exploration. JSLS 2007;11:383-388
78. Sacks BC, Mattar SG, Qureshi FG, Eid GM, Collins JL, Barinas-Mitchell EJ et al. Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2006;2:11-16
79. Frezza EE, Herbert H, Ford R, Wachtel MS. Endoscopic suture removal at gastrojejunal anastomosis after Roux-en-Y gastric bypass to prevent marginal ulceration Surg Obes Relat Dis 2007;3:619-622
80. Gumbs AA, Duffy AJ, Bell RL. Incidence and management of marginal ulceration after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2006;2:460-463
81. Hamad GG, Ikramuddin S, Gourash WF, Schauer PR. Elective cholecystectomy during laparoscopic Roux-en-Y gastric bypass: is it worth the wait? Obes Surg 2003;13:76-81. (Pubitemid 36250243)
82. Shiffman ML, Sugerman HJ, Kellum JH, Brewer WH, Moore EW. Gallstones in patients with morbid obesity. Relationship to body weight, weight loss and gallbladder bile cholesterol solubility. Int J Obes 1993;17:153-158
83. Villegas L, Schneider B, Provost D, Chang C, Scott D, Sims T et al. Is routine cholecystectomy required during laparoscopic gastric bypass? Obes Surg 2004;14:206-211 (Pubitemid 38281093)
84. Amarai JF, Thompson WR. Gallbladder disease in the morbidly obese. Am J Surg 1985;149:551-557
85. Fobi M, Lee H, Igwe D, Felahy B, James E, Stanczyk M et al. Prophylactic cholecystectomy with gastric bypass operation: incidence of gallbladder disease. Obes Surg 2002;12:350-353
86. Mason EE, Renquist KE. Gallbladder management in obesity surgery. Obes Surg 2002;12:222-229
87. Wudel LJ, Wright J, Debelak JP, Alios TM, Shyr Y, Chapman WC. Prevention of gallstone formation in morbidly obese patients undergoing Rapid weight loss: results of a randomized controlled pilot study. J Surg Res 2002;102:50-56
88. Sugerman HJ, Brewer WH, Shiffman ML, Brolin RE, Fobi MA, LinnerJH et al. A multicenter, placebo-controlled, randomized, double-blinded prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric-bypass-induced rapid weight loss. Am J Surg 1995;169:91-97
89. Bernert CP, Ciangura C, Coupaye M, Czernichow S, Bouillot JL, Basdevant A. Nutritional deficiency after gastric bypass: diagnosis, prevention and treatment. Diabetes Metab 2007;33:13-24. (Pubitemid 46628950)
90. Lynch RJ, Eisenbert D, Bell RL. Metabolic consequences of bariatric surgery. J Clin Gastroenterol 2006;40:659-668
91. Malinowski SS. Nutritional and metabolic complications of bariatric surgery. Am J Med Sci 2006;331:219-225
92. Bloomberg RD, Fleishman A, Nalle JE, Herron DM, Kini S. Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg 2005; 1: 145-154
93. Brolin RE, Gorman JH, Gorman RC, Petschenik AJ, Bradley LB, Kenler HA et al. Prophylactic iron SUPPL.ementation after Roux-en-Y gastric bypass Arch Sure 1998;133:740-744
94. Parkes E. Nutritional management of patients after bariatric surgery. Am J Med Sci 2006;331:207-213
95. Fujioka K. Follow-up of nutritional and metabolic problems after bariatric surgery. Diabetes Care 2005;28:481-484
96. Halverson JD. Micronutrient deficiencies after gastric bypass for morbid obesity. Am Surg 1986;52:594-598
97. Xanthakos SA, Inge TH. Nutritional consequences of bariatric surgery. Curr Opin Clin Nutr Metab Care 2006;9:489-496
98. Brolin RE, Gorman JH, Gorman RC, Petschenik AJ, Bradley LJ, Kenler HA et al. Are vitamin B12 and folate deficiency clinically important after Roux-en-Y gastric bypass? J Gastrointest Surg 1998;2:436-442
99. Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg 2008;248: 714-720
100. Villar HV, Ranne R. Neurologic deficit following gastric partitioning: possible role of thiamine. J Parenter and Enteral Nutr 1984;8:575-578