Skip to main content

Complications of Morbid Obesity Surgery

  • Chapter
  • First Online:
Common Problems in Acute Care Surgery

Abstract

The number of weight loss procedures being performed annually continues to increase. It is important for any acute care surgeon to be familiar with commonly performed bariatric procedures and their associated complications. This chapter reviews common complications of laparoscopic adjustable gastric banding, sleeve gastrectomy, gastric bypass, and miscellaneous weight loss procedures as well as the optimal treatment strategies for each complication.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shen X, et al. Long-term complications requiring reoperations after laparoscopic adjustable gastric banding: a systematic review. Surg Obes Relat Dis. 2015;11(4):956–64.

    Article  PubMed  Google Scholar 

  2. Snow JM, Severson PA. Complications of adjustable gastric banding. Surg Clin North Am. 2011;91(6):1249–64. ix.

    Article  PubMed  Google Scholar 

  3. Lehnert B, et al. Imaging of complications of common bariatric surgical procedures. Radiol Clin North Am. 2014;52(5):1071–86.

    Article  PubMed  Google Scholar 

  4. Starnes C et al. Retained gastric band tubing resulting in large bowel obstruction. CRSLS. 2015;e2014.002591.

    Google Scholar 

  5. Starnes C et al. Words of caution regarding adjustable gastric band tubing. CRSLS. 2015;e2015.00017.

    Google Scholar 

  6. Niville E, Dams A, Vlasselaers J. Lap-Band erosion: incidence and treatment. Obes Surg. 2001;11(6):744–7.

    Article  CAS  PubMed  Google Scholar 

  7. Brown WA, et al. Erosions after laparoscopic adjustable gastric banding: diagnosis and management. Ann Surg. 2013;257(6):1047–52.

    Article  PubMed  Google Scholar 

  8. Brethauer SA. Sleeve gastrectomy. Surg Clin North Am. 2011;91(6):1265–79. ix.

    Article  PubMed  Google Scholar 

  9. Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012;26(6):1509–15.

    Article  PubMed  Google Scholar 

  10. Moon RC, et al. Management of staple line leaks following sleeve gastrectomy. Surg Obes Relat Dis. 2015;11(1):54–9.

    Article  PubMed  Google Scholar 

  11. Rosenthal RJ, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.

    Article  PubMed  Google Scholar 

  12. Melissas J, Braghetto I, Molina JC, et al. Gastroesophageal reflux disease and sleeve gastrectomy. Obes Surg. 2015;25(12):2430–5.

    Article  PubMed  Google Scholar 

  13. Altieri MS, Pryor AD. Gastroesophageal reflux disease after bariatric procedures. Surg Clin North Am. 2015;95(3):579–91.

    Article  PubMed  Google Scholar 

  14. Daes J, et al. Improvement of gastroesophageal reflux symptoms after standardized laparoscopic sleeve gastrectomy. Obes Surg. 2014;24(4):536–40.

    Article  PubMed  Google Scholar 

  15. Sroka G, et al. Minimizing hemorrhagic complications in laparoscopic sleeve gastrectomy—a randomized controlled trial. Obes Surg. 2015;25(9):1577–83.

    Article  PubMed  Google Scholar 

  16. Jossart GH. Complications of sleeve gastrectomy: bleeding and prevention. Surg Laparosc Endosc Percutan Tech. 2010;20(3):146–7.

    Article  PubMed  Google Scholar 

  17. Gagner M, et al. Survey on laparoscopic sleeve gastrectomy (LSG) at the Fourth International Consensus Summit on Sleeve Gastrectomy. Obes Surg. 2013;23(12):2013–7.

    Article  PubMed  Google Scholar 

  18. Silva LB, et al. Gastrobronchial fistula in sleeve gastrectomy and Roux-en-Y gastric bypass—a systematic review. Obes Surg. 2015;25(10):1959–65.

    Article  PubMed  Google Scholar 

  19. Abou Rached A, Basile M, El Masri H. Gastric leaks post sleeve gastrectomy: review of its prevention and management. World J Gastroenterol. 2014;20(38):13904–10.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Alazmi W, et al. Treating sleeve gastrectomy leak with endoscopic stenting: the Kuwaiti experience and review of recent literature. Surg Endosc. 2014;28(12):3425–8.

    Article  PubMed  Google Scholar 

  21. Shnell M, et al. Balloon dilatation for symptomatic gastric sleeve stricture. Gastrointest Endosc. 2014;79(3):521–4.

    Article  PubMed  Google Scholar 

  22. Dapri G, Cadiere GB, Himpens J. Laparoscopic seromyotomy for long stenosis after sleeve gastrectomy with or without duodenal switch. Obes Surg. 2009;19(4):495–9.

    Article  PubMed  Google Scholar 

  23. Al Harakeh AB. Complications of laparoscopic Roux-en-Y gastric bypass. Surg Clin North Am. 2011;91(6):1225–37. viii.

    Article  PubMed  Google Scholar 

  24. Coblijn UK, et al. Symptomatic marginal ulcer disease after Roux-en-Y gastric bypass: incidence, risk factors and management. Obes Surg. 2015;25(5):805–11.

    Article  PubMed  Google Scholar 

  25. Carr WR, et al. An evidence-based algorithm for the management of marginal ulcers following Roux-en-Y gastric bypass. Obes Surg. 2014;24(9):1520–7.

    Article  PubMed  Google Scholar 

  26. Jirapinyo P, Watson RR, Thompson CC. Use of a novel endoscopic suturing device to treat recalcitrant marginal ulceration (with video). Gastrointest Endosc. 2012;76(2):435–9.

    Article  PubMed  Google Scholar 

  27. Monkhouse SJ, Morgan JD, Norton SA. Complications of bariatric surgery: presentation and emergency management—a review. Ann R Coll Surg Engl. 2009;91(4):280–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Al-Mansour MR, et al. Internal hernia after laparoscopic antecolic Roux-en-Y gastric bypass. Obes Surg. 2015;25(11):2106–11.

    Article  PubMed  Google Scholar 

  29. Stephenson D, et al. Intussusception after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2014;10(4):666–70.

    Article  PubMed  Google Scholar 

  30. Abellan I, et al. Stapling versus hand suture for gastroenteric anastomosis in Roux-en-Y Gastric bypass: a randomized clinical trial. Obes Surg. 2015;25(10):1796–801.

    Article  CAS  PubMed  Google Scholar 

  31. Guyatt GH, et al. Executive summary: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141 Suppl 2:7S–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Boyce SG, et al. Can composite nutritional supplement based on the current guidelines prevent vitamin and mineral deficiency after weight loss surgery? Obes Surg. 2016;26(5):966–71.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peter A. Walker .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Perez, C., Walker, P.A., Shah, S.K. (2017). Complications of Morbid Obesity Surgery. In: Moore, L., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-42792-8_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-42792-8_36

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42790-4

  • Online ISBN: 978-3-319-42792-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics