Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity

Mala, Tom; Høgestøl, Ingvild Kristine Dahl

doi:10.1177/1457496918772360

Cited by 44 publications

(32 citation statements)

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“…In a Danish study, 34·2 per cent of the patients operated on with RYGB had been in contact with healthcare professionals owing to abdominal symptoms. Unfortunately, longitudinal studies focusing on abdominal pain and symptoms both before and after RYGB are few. As these symptoms are common in patients with obesity, interpretations of findings based on postoperative evaluations alone are challenging.…”

Section: Introductionmentioning

confidence: 99%

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

et al. 2019

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Background Despite increased emphasis on patient‐reported outcomes, few studies have focused on abdominal pain symptoms before and after Roux‐en‐Y gastric bypass (RYGB). The aim of this study was to quantify chronic abdominal pain (CAP) in relation to RYGB. Methods Patients with morbid obesity planned for RYGB were invited to participate at a tertiary referral centre from February 2014 to June 2015. Participants completed a series of seven questionnaires before and 2 years after RYGB. CAP was defined as patient‐reported presence of long‐term or recurrent abdominal pain lasting for more than 3 months. Results A total of 236 patients were included, of whom 209 (88·6 per cent) attended follow‐up. CAP was reported by 28 patients (11·9 per cent) at baseline and 60 (28·7 per cent) at follow‐up ( P < 0·001). Gastrointestinal Symptom Rating Scale (GSRS) scores (except reflux scores) and symptoms of anxiety increased from baseline to follow‐up. Most quality of life (QoL) scores (except role emotional, mental health and mental component scores) also increased. At follow‐up, patients with CAP had higher GSRS scores than those without CAP, with large effect sizes for abdominal pain and indigestion syndrome scores. Patients with CAP had more symptoms of anxiety, higher levels of catastrophizing and lower QoL scores. Baseline CAP seemed to predict CAP at follow‐up. Conclusion The prevalence of CAP is higher 2 years after RYGB compared with baseline values.

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Section: Introductionmentioning

confidence: 99%

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

et al. 2019

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“…However, the burden of nonspecific complaints is considerable [ 25 , 41 ]. The impact and extent of abdominal complaints is gaining more attention in the current literature [ 43 ]. In the article by Gormsen et al, 39% of patients experienced abdominal pain in the past month, within a FU of 2–7 years after RYGB [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Long-term Emergency Department Visits and Readmissions After Laparoscopic Roux-en-Y Gastric Bypass: a Systematic Review

et al. 2021

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Purpose There is considerable evidence on short-term outcomes after laparoscopic Roux-en-Y gastric bypass (LRYGB), but data on long-term outcome is scarce, especially on postoperative emergency department (ED) visits and readmissions. We aim to systematically review evidence on the incidence, indications, and risk factors of ED visits and readmissions beyond 30 days after LRYGB. Materials and Methods A systematic search in PubMed, Scopus, Embase.com, Cochrane Library, and PsycINFO was performed. All studies reporting ED visits and readmissions > 30 days after LRYGB, with ≥ 50 patients, were included. PRISMA statement was used and the Newcastle-Ottawa Scale for quality assessment. Results Twenty articles were included. Six studies reported on ED visits (n = 2818) and 19 on readmissions (n = 276,543). The rate of patients with an ED visit within 90 days after surgery ranged from 3.9 to 32.6%. ED visits at 1, 2, and 3 years occurred in 25.6%, 30.0%, and 31.1% of patients. Readmissions within 90 days and at 1-year follow-up ranged from 4.1 to 20.5% and 4.75 to 16.6%, respectively. Readmission was 29% at 2 years and 23.9% at 4.2 years of follow-up. The most common reason for ED visits and readmissions was abdominal pain. Conclusion Emergency department visits and readmissions have been reported in up to almost one in three patients on the long-term after LRYGB. Both are mainly indicated for abdominal pain. The report on indications and risk factors is very concise. A better understanding of ED visits and readmissions after LRYGB is warranted to improve long-term care, in particular for patients with abdominal pains.

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“…RYGB operated patients admitted for acute abdominal pain at the Department of Surgery at Skåne University Hospital, Malmö, Sweden between June 2015 and December 2017 were eligible for inclusion in the study. Exclusion criteria were (1) below 18 years of age (2) unable to give consent (3) > 72 hours from admission at the time of inclusion. Oral and written informed consent was obtained from all patients at inclusion.…”

Section: Methodsmentioning

confidence: 99%

“…IH has varying clinical presentation making the clinical diagnosis difficult and may occur despite previously closed mesenteric gaps at any time after the RYGB surgery (1) . Abdominal pain is a common complaint in RYGB operated patients and clinical examination and laboratory results may be unremarkable in patients with IH (2) . To the best of our knowledge, no systematic investigation of the specific clinical symptoms or pain assessment of patients with IH has been reported.…”

Section: Introductionmentioning

confidence: 99%

The role of citrulline, intestinal fatty acid–binding protein, and D-dimer as potential biomarkers in the diagnosis of internal herniation after Roux-en-Y gastric bypass

Zaigham

Regnér

Ekelund

et al. 2021

Surgery for Obesity and Related Diseases

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity

Abstract: Abdominal pain should be part of follow-up consultations post Roux-en-Y gastric bypass. Future studies should focus on combined evaluations before and after surgery to enlighten potential casual relationships between abdominal pain and Roux-en-Y gastric bypass.

Cited by 44 publications

References 55 publications

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

Long-term Emergency Department Visits and Readmissions After Laparoscopic Roux-en-Y Gastric Bypass: a Systematic Review

The role of citrulline, intestinal fatty acid–binding protein, and D-dimer as potential biomarkers in the diagnosis of internal herniation after Roux-en-Y gastric bypass

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