Incidence and management of bleeding complications after gastric bypass surgery in the morbidly obese

Heneghan, Helen; Meron-Eldar, Shai; Yenumula, Panduranga R.; Rogula, Tomasz; Brethauer, Stacy A.; Schauer, Philip R.

doi:10.1016/j.soard.2011.05.011

Cited by 72 publications

(58 citation statements)

References 30 publications

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“…Publications show the proportion of early postoperative bleedings among all bleedings after RYGB to vary from 53% to 73.7% [1,7]. As a rule, these are intraabdominal bleedings which develop for the first 24 hours after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…Pathophysiological mechanisms of such ulcer occurence still remain not completely studied but most probable factors responsible are ischemia, the impact of hydrochloric acid, the response to foreign bodies (sutures and staples) as well as the tension of tissues in the area of formed anastomoses [7,9]. The choice of treatment approach in patients with gastrointestinal bleeding depends largely on the character and timing of clinical manifestations.…”

Section: Discussionmentioning

confidence: 99%

“…They may be just limited by proton pump inhibitors administration and observing the patient for any changes in his condition or perhaps blood component transfusion, diagnosis and treatment endoscopy as well as active surgical intervention will be needed [1,7].…”

Section: Discussionmentioning

confidence: 99%

“…Bleedings after surgery can be specified as early ones developing before the 30 th postoperative day and late ones-after the 30 th postoperative day [1,2,7]. Besides, they can be intraluminal and intraabdominal.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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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Section: Discussionmentioning

confidence: 99%