Skip to main content
SpringerLink
Log in

Up-to-date review into the evolving world of bariatric interventions: a guide for radiologists

  • Review
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

Abstract

Obesity is a worldwide health concern leading to several chronic health problems and comorbidities. Its treatment requires a multidisciplinary approach where lifestyle changes are fundamental. Additionally, in the past decade, the use of different surgical procedures of various levels of complexity has grown, with the objective of reducing the gastric capacity, creating diversions, or a combination of both. The aim of this article is to review and illustrate the major types of bariatric surgical techniques, their normal post-surgical anatomy, and the possible associated complications, to aid the radiologist in their assessment and timely diagnosis.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21

Similar content being viewed by others

References

  1. World Health Organization (WHO). Global Health Observatory Obesity Fact Sheet 2021

  2. Canadians with overweight or obese BMI number 2015–2021 | Statista

  3. American Society for Metabolic and Bariatric Surgery (asmbs.org)

  4. Winckelmann LA, Gribsholt SB, Madsen LR, et al. Roux-en-Y gastric bypass versus sleeve gastrectomy: nationwide data from the Danish quality registry for treatment of severe obesity. Surg Obes Relat Dis. 2022;18(4):511–519.

    Article  PubMed  Google Scholar 

  5. Alalwan AA, Friedman J, Park H, Segal R, Brumback BA, Hartzema AG. US national trends in bariatric surgery: a decade of study. Surgery 2021; 170:13–17

    Article  PubMed  Google Scholar 

  6. Campos GM, Khoraki J, Browning MG, Pessoa BM, Mazzini GS, Wolfe L. Changes in utilization of bariatric surgery in the United States from 1993 to 2016. Annals of surgery 2020; 271:201–209

    Article  PubMed  Google Scholar 

  7. Chandler RC, Srinivas G, Chintapalli KN, et al. Imaging in Bariatric Surgery: A Guide to Postsurgical Anatomy and Common Complications. AJR 2008;190:122–135.

    Article  PubMed  Google Scholar 

  8. Shah S, Shah V, Ahmed AR et-al. Imaging in bariatric surgery: service set-up, post-operative anatomy and complications. Br J Radiol. 2011;84(998):101–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Levine MS, Carucci LR. Imaging of Bariatric Surgery: Normal Anatomy and Postoperative Complications. Radiology 2014; 270:327–341.

    Article  PubMed  Google Scholar 

  10. Patel, K., Gunaratne, M. (2023). Radiological Imaging in Bariatric Surgery. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham.

    Google Scholar 

  11. Rosen D, Dakin G, Pomp A. Sleeve Gastrectomy. Minerva Chir. 2009;64(3):285–95.

    CAS  PubMed  Google Scholar 

  12. Goitein D, Goitein O, Feigin A et-al. Sleeve gastrectomy: radiologic patterns after surgery. Surg Endosc. 2009;23(7):1559–63.

    Article  PubMed  Google Scholar 

  13. Sonavane SK, Menias CO, Kantawala KP et-al. Laparoscopic adjustable gastric banding: what radiologists need to know. Radiographics. 2012;32(4):1161–78.

    Article  PubMed  Google Scholar 

  14. Mehanna MJ, Birjawi G, Moukaddam HA et-al. Complications of adjustable gastric banding, a radiological pictorial review. AJR Am J Roentgenol. 2006;186(2):522–34.

    Article  PubMed  Google Scholar 

  15. Prosch H, Tscherney R, Kriwanek S et-al. Radiographical imaging of the normal anatomy and complications after gastric banding. Br J Radiol. 2008;81(969):753–7.

    Article  CAS  PubMed  Google Scholar 

  16. Hutchison R & Hutchison A. César Roux and His Original 1893 Paper. Obes Surg. 2010;20(7):953–6.

    Article  PubMed  Google Scholar 

  17. Blachar A, Federle M, Pealer K, Ikramuddin S, Schauer P. Gastrointestinal Complications of Laparoscopic Roux-En-Y Gastric Bypass Surgery: Clinical and Imaging Findings. Radiology. 2002;223(3):625–32.

    Article  PubMed  Google Scholar 

  18. Scopinaro N. Thirty-Five Years of Biliopancreatic Diversion: Notes on Gastrointestinal Physiology to Complete the Published Information Useful for a Better Understanding and Clinical Use of the Operation. Obes Surg. 2012;22(3):427–32.

    Article  PubMed  Google Scholar 

  19. Carucci L & Turner M. Imaging Following Bariatric Procedures: Roux-En-Y Gastric Bypass, Gastric Sleeve, and Biliopancreatic Diversion. Abdom Imaging. 2012;37(5):697–711.

    Article  PubMed  Google Scholar 

  20. Surve A, Cottam D, Medlin W, et al. Long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). Surgery for Obesity and Related Diseases 2020; 16:1638–1646

    Article  PubMed  Google Scholar 

  21. Eichelter J, Felsenreich DM, Bichler C, et al. Surgical Technique of Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S). Surg Technol Int. 2022;27(41):1571.

    Google Scholar 

  22. Sangiorgi GM, Cereda A, Porchetta N, et al. Endovascular bariatric surgery as novel minimally invasive technique for weight management in the morbidly obese: review of the literature. Nutrients 2021; 13:2541.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Alban EAD, García CA, Ospina LM. et al. Imaging after Bariatric Surgery: When Interpretation Is a Challenge, from Normal to Abnormal. Obes Surg. 2018;28:2923–2931.

    Article  PubMed  Google Scholar 

  24. Xu T, Rosculet N, Steele K, et al. Comparison of upper gastrointestinal fluoroscopy versus computed tomography for evaluation of post-operative leak in a bariatric surgery patient. BJR Case Rep. 2016;22:3(1):20160076.

  25. Clayton R, Carucci L. Imaging following bariatric surgery: Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy. Br J Radiol 2018; 91: 20180031.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Gärtner D, Ernst A, Fedtke K, et al. Routine fluoroscopic investigations after primary bariatric surgery. Chirurgia 2016;87(3):241–6.

    Article  Google Scholar 

  27. Lacobellis F, Dell’Aversano Orabona G, et al. Common, Less Common, and Unexpected Complications after Bariatric Surgery: A Pictorial Essay. Diagnostics. 2022;12(11):2637.

    Article  Google Scholar 

  28. Silva AC, Pimenta M, Guimaraes LS. Small Bowel Obstruction: What to Look For. Small Bowel Obstruction: What to Look For. RadioGraphics 2009 29:2, 423–439.

  29. Däster S, Droeser RA, Delko T, et al. Two similar cases of internal hernia after laparoscopic Roux-en-Y gastric bypass surgery Case Reports. 2013;2013:bcr2013010189.

Download references

Author information

Authors and Affiliations

  1. Department of Medical Imaging, JDMI University Health Network, University of Toronto, 610 University Avenue, Toronto, ON, M5G 2M9, Canada

    Ciara O’Brien, Vanessa Murad & Mary Renton

Authors
  1. Ciara O’Brien
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vanessa Murad
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mary Renton
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ciara O’Brien.

Ethics declarations

Conflict of interest

Authors declare that they have no disclosures.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

O’Brien, C., Murad, V. & Renton, M. Up-to-date review into the evolving world of bariatric interventions: a guide for radiologists. Abdom Radiol 49, 1007–1019 (2024). https://doi.org/10.1007/s00261-023-04137-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-023-04137-z

Keywords

Search

Navigation