Endoscopic Diagnosis and Treatment of Bariatric Surgery Complications

Abstract

Obesity has become a health problem that generates significant expenses for the health system worldwide. It is associated with chronic diseases—such as high blood pressure and diabetes—and some types of cancers. Bariatric surgery is the gold standard in the treatment of morbid obesity. Several endoscopic procedures have emerged to treat the complications of these surgeries in a less invasive way, reducing morbidity and mortality in these patients. This review aims to present the best trend in the endoscopic treatment of bariatric surgery complications.

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

“…While subjects had multiple endoscopic dilations for debilitating strictures with poor results, individuals could not tolerate solid food before SEMS treatment, and only a liquid protein was their common meal. 30,31 After SEMS treatment, all but one patient tolerated a solid bariatric diet after a mean follow-up of 3.5 months. The hypothesis is that the SEMS declines wound contraction and improves the overall diameter of the anastomosis.…”

Tratamiento endoscópico de una fístula aguda tras gastrectomía vertical laparoscópica

“…Han surgido varios procedimientos endoscópicos para tratar las complicaciones de estas cirugías de forma menos invasiva, reduciendo la morbilidad y mortalidad en estos pacientes (3) . Presentamos el caso de una resolución endoscópica de una fístula aguda posterior a una GVL con colocaciónn del sistema "over-the-scope clip" (Ovesco®) y posteriormente stent metálico auto expandible.…”