Abnormal Findings on Routine Upper GI Series following Laparoscopic Roux-en-Y Gastric Bypass

Abstract

UGIS on postoperative day 1 is a useful means of evaluating postoperative LRYGBP anatomy and influenced postoperative care.

The paradox of the pouch: prompt emptying predicts improved weight loss after laparoscopic Roux-Y gastric bypass

“…The utility of routine postoperative UGI series following RYGBP to identify anastomotic problems such as obstruction or leak has been advocated by some [13][14][15][16] and dismissed by other experts in bariatric surgery who recommended its selective use in patients exhibiting suggestive signs and symptoms of anastomotic stricture or leak [17][18][19]. Unrelated to the putative advantages of routine early postoperative UGI series, our study demonstrates an additional utility of this well-tolerated, complication-free study [16].…”

“…Unrelated to the putative advantages of routine early postoperative UGI series, our study demonstrates an additional utility of this well-tolerated, complication-free study [16]. Patients demonstrating delayed gastric emptying are likely to lose less weight by the end of the first postoperative year than those with normal emptying.…”

Routine postoperative upper gastrointestinal fluoroscopy is unnecessary after laparoscopic adjustable gastric band placement

“…Raman et al [14] concurred with this finding, with a 1.2% leak rate on initial postoperative UGI prompting intervention and potentially preventing morbidity. Some authors note that improved experience leads to decreased leak rates, suggesting that UGI is most valuable in early practice and its usefulness should be evaluated in each practice [12,13,15]. Rodriguez-Cuellar [15] additionally comments that computed tomography (CT) may be a better mode of evaluation in the future.…”

“…Some authors note that improved experience leads to decreased leak rates, suggesting that UGI is most valuable in early practice and its usefulness should be evaluated in each practice [12,13,15]. Rodriguez-Cuellar [15] additionally comments that computed tomography (CT) may be a better mode of evaluation in the future. This perhaps would suggest that the exceedingly small leak rate seen in the less complex LAGB may preclude UGI's usefulness, particularly as the surgeon gains experience.…”

Small Bowel Obstruction after Laparoscopic Roux-en-Y Gastric Bypass Caused by an Intraluminal Blood Clot

“…Upper gastrointestinal series or CT scan are the best radiographic tools for detecting intraluminal blood clot formation. The benefit of routine postoperative gastro-intestinal series is another topic, as described by Raman et al, nevertheless it might indicate patients with subclinical non obstructing clots who are of course at risk for total obstruction by blood clot formation [13].…”