Clinical and Endoscopic Predictors of Hydrostatic Balloon Dilation Failure for Post-Bariatric Anastomotic Stricture Treatment

Castañeda, Daniel; Azar, Francisco Franco; Hussain, Ishtiaq; Hasan, Badar; Charles, Roger; Pimentel, Ronnie; Castro, Fernando

doi:10.1007/s11695-021-05353-6

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Progressive intolerance to solids more than liquids and pain with eating are usual presenting signs. Upper endoscopy should be performed, and most strictures respond to serial balloon or bougie dilation 61 . Upper gastrointestinal contrast studies are not reliable and can be read as normal even in the presence of a tight stricture.…”

Section: Gastric Bypass Complicationsmentioning

confidence: 99%

“…Upper endoscopy should be performed, and most strictures respond to serial balloon or bougie dilation. 61 Upper gastrointestinal contrast studies are not reliable and can be read as normal even in the presence of a tight stricture. These rarely require urgent surgical intervention and should be referred to a bariatric specialist for further workup and potential surgical intervention.…”

Section: Late Complications (>30 Postoperative Days): Internal Hernia...mentioning

confidence: 99%

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Common postbariatric surgery emergencies for the acute care surgeon: What you need to know

Cheng,

Samakar,

Dobrowolsky

et al. 2023

J Trauma Acute Care Surg

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The field of bariatric and metabolic surgery has changed rapidly over the past two decades, with an exponential increase in case volumes being performed because of its proven efficacy for morbid obesity and obesity-related comorbidities. Although this increased volume of procedures has been accompanied by significant decrease in postoperative complication rates, there are numerous potential complications after bariatric surgery that may require urgent or emergent surgical evaluation or interventions. Many of these risks extend well beyond the early postoperative period and can present months to years after the index procedure. Acute care surgeons are increasingly covering most or all of the emergency general surgery services at many centers and must be familiar with the numerous bariatric surgical procedures being performed and their individual complication profile to provide optimal care for these frequently challenging patients. This article provides a focused and concise review of the common bariatric procedures being performed, their early and late complication profiles, and a practical guide to the optimal diagnostic evaluations, surgical interventions, and perioperative management options. The author group includes both acute care surgeons and bariatric surgeons with significant experience in the emergency management of the complicated postbariatric surgical patient. LEVEL OF EVIDENCE Literature Synthesis and Expert Opinion; Level V.

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Section: Gastric Bypass Complicationsmentioning

confidence: 99%

Section: Late Complications (>30 Postoperative Days): Internal Hernia...mentioning

confidence: 99%