Endoscopic Evaluation of Symptomatic Patients following Bariatric Surgery: A Literature Review

Subhani, Miral; Rizvon, Kaleem; Mustacchia, Paul

doi:10.1155/2012/753472

Cited by 10 publications

(8 citation statements)

References 39 publications

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“…72 The presence of H. pylori, as part of chronic active gastritis, on preoperative endoscopy, has been documented in 85.5% of patients, in a study on morbidly obese Saudi patients undergoing bariatric surgery. 73 It was speculated that the high prevalence could have been attributed to several factors, including sanitation and socio-economic factors. We found a similarly high presence of H. pylori in our black patients, the reason for which remains unclear.…”

Section: Aspiration Pneumonia 1 Pneumoniamentioning

confidence: 99%

Baseline patient profiling and three-year outcome data after metabolic surgery at a South African centre of excellence

Merwe

Fetter²,

Naidoo³

et al. 2015

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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The bariatric team at Waterfall City Hospital in Gauteng has performed 820 metabolic surgeries under the guidance of an extended team, and with comprehensive recordkeeping. Baseline profiling on more than 50 variables afforded insight into patients undergoing surgery. The available outcome data over three years were comparable with those in the documented literature. The attempted weight loss period prior to agreeing to surgery was 16-18 years. Weight loss in the overall cohort was 29% at three years, with a two-year outcome as follows: diabetes mellitus remission of 81.6% in males and 83.1% in females, full and part-hypertension resolution of 84.8% in males and 74.6% in females, hyperlipidaemia on no treatment of 76.8% in males and 72.1% in females, and sleep apnoea of 75.5% in males and 76.8% in females. Separating out the diabetic group indicated a diabetes mellitus remission of 73.9% in males and 75.1% in females at one year. Improvement in the components of metabolic syndrome was demonstrated in the total cohort. There was an worse profile and higher risk in the male patients. Similarly, higher risk was recorded in the biliopancreatic diversion-duodenal switch cohort, and there was a higher percentage of elected diabetic patients. A wide range of revision surgery was performed, with a higher complication rate (20%) experienced compared to that recorded with the primary surgeries. The morbidity data were separated into medical and surgical morbidity. Major medical morbidity was documented at 5.6% and surgical morbidity at 3.9%. Surgical morbidity in the first 250 cases was reported to be 6% vs. 2.7% in the last 570 cases. Mortality for the cohort was noted to be 0.1%.

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Section: Aspiration Pneumonia 1 Pneumoniamentioning

confidence: 99%

Baseline patient profiling and three-year outcome data after metabolic surgery at a South African centre of excellence

Merwe

Fetter²,

Naidoo³

et al. 2015

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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“…The majority of late postoperative bleedings are intraluminal [5,7]. They may develop several months and even years after surgery, being most commonly caused by ulcers in gastrojejunoanastomosis or the remnant stomach and duodenum [1,4,6,7]. In late postoperative period about 20% of patients develop ulcers [8,9].…”

Section: Discussionmentioning

confidence: 99%

“…Like any other surgical intervention, RYGB is associated with possible complications and many of them may become life threatening. Postoperative bleeding is one of such complications, its prevalence being cited as 1-4% [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Bleeding after Gastric Bypass Surgery: The Possibility of using of Postoperative Balloon Enteroscopy

Mo¹,

As²,

Dv³

et al. 2017

J Gastrointest Dig Syst

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In the majority of cases late postoperative bleedings are intraluminal ones, showing clinical manifestations of high gastrointestinal hemorrhage. Among all bariatric procedures, this complication develops more commonly after Rouxen-Y gastric bypass. The most likely cause of such bleedings being peptic ulcer, conservative therapy with proton pump inhibitors is well justified at the initial stages of treatment. Upper endoscopy is the treatment of choice for bleeding ulcers localized in the pouch and 80% of bleedings in the pouch or gastroenteroanastomosis can be controlled in this way.If the bleeding is localized in the remnant stomach or duodenum and small intestine, more advanced endoscopic procedures are needed. Balloon enteroscopy is one of such techniques, although its efficacy in the treatment of bleeding resulting from biliopancreatic limb is extremely variable and depends mainly on specialist's skills, length of intestinal loop as well as severity of adhesions in the abdominal cavity. The article describes our experience of enteroscopy used to control bleeding from duodenal ulcer after Roux-en-Y gastric bypass intervention.

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“…In this multitude of possible findings, a normal gastric endoscopy has been consistently reported as the most common post-operative endoscopic finding in these patients (8,10,14,22) . Despite these findings, to our knowledge none of these previous studies has reported co-occurring patterns.…”

Section: Long-term Postoperative Endoscopic Findings After Gastric Bymentioning

confidence: 91%

LONG-TERM POSTOPERATIVE ENDOSCOPIC FINDINGS AFTER GASTRIC BYPASS PROCEDURE: a co-occurrence analysis

Quadros¹,

Kaiser²,

Neto³

et al. 2016

Arq. Gastroenterol.

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-Background -A multitude of endoscopic findings post-gastric bypass procedures have been previously reported in the literature, but to our knowledge, no present rules exist that could guide clinicians regarding which findings should be actively sought, once an initial finding is identified. Objective -To identify co-occurrence patterns among endoscopic findings of patients having undergone past gastric bypass procedure. Methods -Our registry involves all consecutive patients undergoing an upper endoscopic evaluation after a gastric bypass procedure. We collected information on the presence of the endoscopic findings in post-gastric bypass surgery patients. Co-occurrence evaluation involved the use of intersection, cluster and item factor analyses.Results -A total of 396 endoscopic evaluations were made on 339 patients. Most patients were female (81.1%), with an average BMI of 31.88±6.7 at the time of endoscopy. Esophagitis was the most common isolated finding (35.3%). Endoscopic findings clustered around two groups, (1) the ring-related complications involving ring displacement, ring slips and gastric pouch, while (2) stenosis-related findings involved dilation and stenosis (P<0.01). Conclusion -While most endoscopic findings after gastric bypass endoscopic procedures are isolated, ring and stenosis-related clusters should be used as a set of rules by clinicians, as it might enhance their probability of finding co-occurring conditions.

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Endoscopic Evaluation of Symptomatic Patients following Bariatric Surgery: A Literature Review

Cited by 10 publications

References 39 publications

Baseline patient profiling and three-year outcome data after metabolic surgery at a South African centre of excellence

Baseline patient profiling and three-year outcome data after metabolic surgery at a South African centre of excellence

Bleeding after Gastric Bypass Surgery: The Possibility of using of Postoperative Balloon Enteroscopy

LONG-TERM POSTOPERATIVE ENDOSCOPIC FINDINGS AFTER GASTRIC BYPASS PROCEDURE: a co-occurrence analysis

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