Seven cases of gastric perforation in Roux-en-Y gastric bypass patients: what lessons can we learn?

Abstract:

BACKGROUND:Patients undergoing Roux-en-Y gastric bypass for the resolution of morbid obesity have significant medical sequelae related to their weight. One of the most common comorbid conditions is joint pain requiring the use of non-steroidal anti-inflammatory medications (NSAIDs). In addition to NSAIDs, patients may engage in behaviors such as smoking and alcohol misuse that increase the risk of long-term postoperative complications to include gastric perforation. METHODS:Data on 1,690 patients undergoing gastric bypass surgery were collected prospectively and reviewed retrospectively. RESULTS:We identified seven patients who presented to an emergency room and subsequently required emergent surgical intervention for repair of gastric perforation. Six of the seven cases involved use or abuse of NSAIDs. CONCLUSION:Important characteristics were identified including the use of NSAIDs, alcohol use, and non-compliance with routine long-term postoperative follow-up. Identifying those patients at high risk may decrease the incidence of this potentially life-threatening complication.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Sasse KC,Ganser J,Kozar M,Watson RW,McGinley L,Lim D,Weede M,Smith CJ,Bovee V

doi

10.1007/s11695-007-9335-4

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

530-4

issue

5

eissn

0960-8923

issn

1708-0428

journal_volume

18

pub_type

杂志文章
  • Controversies in perioperative anesthetic management of the morbidly obese: I am a surgeon, why should I care?

    abstract::Over the last four decades, as the rates of obesity have increased, so have the challenges associated with its anesthetic management. In the present review, we discuss perioperative anesthesia management issues that are modifiable by the early involvement of the surgical team. We sum up available evidence or expert op...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-015-1635-5

    authors: Sinha AC,Singh PM

    更新日期:2015-05-01 00:00:00

  • Alterations in proinsulin and insulin dynamics, HDL Cholesterol and ALT after gastric bypass surgery. A 42-months follow-up study.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGBP) powerfully reduces type 2 diabetes (T2DM) incidence. Proinsulin predicts development of T2DM. Adjustable gastric banding is associated with lowered proinsulin but after RYGBP information is scant. METHODS:Twenty-one non-diabetic morbidly obese patients who underwent RYGBP su...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9806-x

    authors: Johansson HE,Haenni A,Ohrvall M,Sundbom M,Zethelius B

    更新日期:2009-05-01 00:00:00

  • Effects of Biliopancreatic Diversion on Bone Turnover Markers and Association with Hormonal Factors in Patients with Severe Obesity.

    abstract:BACKGROUND:This study evaluated early and medium-term changes in bone turnover markers, and their associations with weight loss, total bone mineral density (BMD), and hormonal changes after biliopancreatic diversion (BPD). METHODS:Ancillary study from a one-year prospective cohort of 16 individuals assessed before, 3 ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3617-x

    authors: Turcotte AF,Grenier-Larouche T,Ung RV,Simonyan D,Carreau AM,Carpentier AC,Mac-Way F,Michou L,Tchernof A,Biertho L,Lebel S,Marceau S,Gagnon C

    更新日期:2019-03-01 00:00:00

  • Successful thrombolysis of submassive pulmonary embolism after bariatric surgery: expanding the indications and addressing the controversies.

    abstract:BACKGROUND:Venous thromboembolic (VTE) disease is a much-feared complication of bariatric surgery. The most common unexpected cause of death in the morbidly obese patient is pulmonary embolism (PE). Recent data supports the expanded use of systemic thrombolytics in hemodynamically stable patients with PE and echocardio...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322509426

    authors: Pulipati RC,Lazzaro RS,Macura J,Savel RH

    更新日期:2003-10-01 00:00:00

  • Rhabdomyolysis after bariatric surgery by Roux-en-Y gastric bypass: a prospective study.

    abstract:BACKGROUND:Obesity is a worldwide epidemic associated to comorbidities and increased mortality. Because it is chronic and recurrent and has little response to clinical measures, surgical treatment (bariatric surgery) is a therapeutic option frequently used. Different surgical complications have been associated with thi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9780-8

    authors: de Oliveira LD,Diniz MT,de Fátima H S Diniz M,Savassi-Rocha AL,Camargos ST,Cardoso F

    更新日期:2009-08-01 00:00:00

  • Sleep apnea: is routine preoperative screening necessary?

    abstract:BACKGROUND:Because perioperative complications of unrecognized obstructive sleep apnea (OSA) can be severe, many bariatric surgery programs routinely screen all patients. However, many obese non-bariatric surgery patients do not get screened. We wanted to evaluate the need for routine preoperative OSA screening. METHO...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0806-x

    authors: Nepomnayshy D,Hesham W,Erickson B,MacDonald J,Iorio R,Brams D

    更新日期:2013-03-01 00:00:00

  • Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study.

    abstract:BACKGROUND:We have previously reported on the benefits of Pre-Surgical Exercise Training (PreSET) on physical fitness and social interactions in subjects awaiting bariatric surgery (BS). However, data are needed to know whether these benefits are maintained post-BS. OBJECTIVES:The purpose of this paper was to evaluate...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-017-2943-8

    authors: Baillot A,Vallée CA,Mampuya WM,Dionne IJ,Comeau E,Méziat-Burdin A,Langlois MF

    更新日期:2018-04-01 00:00:00

  • Bipolar disorder symptoms in patients seeking bariatric surgery.

    abstract:BACKGROUND:Mood disorders are common among patients seeking bariatric surgery although little data exist regarding the prevalence of bipolar symptoms in this population and how they influence surgical outcomes. Our aim was to describe baseline rates of bipolar symptoms and their relationship to psychological factors an...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1262-6

    authors: Grothe KB,Mundi MS,Himes SM,Sarr MG,Clark MM,Geske JR,Kalsy SA,Frye MA

    更新日期:2014-11-01 00:00:00

  • Two-day length of stay following open Roux-En-Y gastric bypass: is it feasible, safe and reasonable?

    abstract:BACKGROUND:As our bariatric program matured, we noted that length of stay (LOS) steadily decreased. This led us to analyze our experience to identify factors contributing to this abbreviated LOS and to evaluate the safety of discharging patients with only a 2-day LOS. METHODS:All patients undergoing open Roux-en-Y gas...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089204772787257

    authors: Stellato TA,Hallowell PT,Crouse C,Schuster M,Petrozzi MC

    更新日期:2004-01-01 00:00:00

  • Protein-Calorie Malnutrition Requiring Revisional Surgery after One-Anastomosis-Mini-Gastric Bypass (OAGB-MGB): Case Series from the Tehran Obesity Treatment Study (TOTS).

    abstract:INTRODUCTION:One-anastomosis-mini-gastric bypass (OAGB-MGB) is the second most popular gastric bypass procedure with remarkable weight loss results and comorbidity resolution rates. However, some concerns remain regarding its postoperative complications, including protein-calorie malnutrition (PCM). We hereby report ou...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03741-7

    authors: Khalaj A,Kalantar Motamedi MA,Mousapour P,Valizadeh M,Barzin M

    更新日期:2019-06-01 00:00:00

  • Roux-en-Y Gastric Bypass Acutely Decreases Protein Carbonylation and Increases Expression of Mitochondrial Biogenesis Genes in Subcutaneous Adipose Tissue.

    abstract:BACKGROUND:Mitochondrial dysfunction in adipose tissue has been implicated as a pathogenic step in the development of type 2 diabetes mellitus (T2DM). In adipose tissue, chronic nutrient overload results in mitochondria driven increased reactive oxygen species (ROS) leading to carbonylation of proteins that impair mito...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1708-5

    authors: Jahansouz C,Serrot FJ,Frohnert BI,Foncea RE,Dorman RB,Slusarek B,Leslie DB,Bernlohr DA,Ikramuddin S

    更新日期:2015-12-01 00:00:00

  • DRG, costs and reimbursement following Roux-en-Y gastric bypass: an economic appraisal.

    abstract:BACKGROUND:There is disagreement regarding hospital and physician reimbursement fees when DRG codes are used. We have found that physicians and hospitals are rewarded differently depending on the type of insurance coverage - per diem HMO (Health Maintenance Organization) vs public. METHODS:133 patients were retrospect...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190790

    authors: Angus LD,Cottam DR,Gorecki PJ,Mourello R,Ortega RE,Adamski J

    更新日期:2003-08-01 00:00:00

  • A meta-analysis of 2-year effect after surgery: laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity and diabetes mellitus.

    abstract::Literature search was performed for bariatric surgery from inception to September 2013, in which the effects of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) on body mass index (BMI), percentage of excess weight loss (EWL%), and diabetes mellitus (DM) were compared 2 years pos...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-014-1303-1

    authors: Zhang C,Yuan Y,Qiu C,Zhang W

    更新日期:2014-09-01 00:00:00

  • Prevalence of Vitamin D Depletion, and Associated Factors, among Patients Undergoing Bariatric Surgery in Southern Brazil.

    abstract:BACKGROUND:Hypovitaminosis D is common, before and after gastric bypass surgery. The prevalence of hypovitaminosis D in a large group of candidates for bariatric surgery in Brazil and South America has not been studied. OBJECTIVE:To evaluate the prevalence of hypovitaminosis D and associated factors in patients underg...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03963-9

    authors: Vivan MA,Kops NL,Fülber ER,de Souza AC,Fleuri MASB,Friedman R

    更新日期:2019-10-01 00:00:00

  • Self-Reported Eating Disorder Symptoms Before and After Gastric Bypass and Duodenal Switch for Super Obesity--a 5-Year Follow-Up Study.

    abstract:BACKGROUND:This study assessed eating disorder pathology in persons with obesity before and after Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (DS), in a 5-year follow-up study. METHODS:Sixty participants with BMI 50-60 kg/m(2) were randomly assigned to RYGB (n = 31) or DS (n = 29...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-015-1790-8

    authors: Morseth MS,Hanvold SE,Rø Ø,Risstad H,Mala T,Benth JŠ,Engström M,Olbers T,Henjum S

    更新日期:2016-03-01 00:00:00

  • The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life.

    abstract:PURPOSE:The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. METHODS:The patients were randomized and divided into two groups each comprising 74 patients. CP and...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-019-04165-z

    authors: Duymaz T,Karabay O,Ural IH

    更新日期:2020-01-01 00:00:00

  • Biliopancreatic diversion with transitory gastric restriction and duodenal bulb preservation: 88 patients since 1992.

    abstract:BACKGROUND:Over 10 years, 88 patients underwent biliopancreatic diversion with transitory gastric restriction (BPD-TGR) as a first choice operation or after gastric restrictive procedures. METHODS:From 1992 to 1999, BPD-TGR was performed on 71 patients as a first choice operation (Group 1 - BMI 41.9 +/- 6.5). The TGR ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892041590836

    authors: Vassallo C,Negri L,Rovati P,Della Valle A,Tata S,Berbiglia G,Pessina A,Ramaioli F,Dono C,Fariseo M

    更新日期:2004-06-01 00:00:00

  • Multicenter, Phase 1, Open Prospective Trial of Gastric Electrical Stimulation for the Treatment of Obesity: First-in-Human Results with a Novel Implantable System.

    abstract:BACKGROUND AND AIMS:To assess safety of the Exilis™ gastric electrical stimulation (GES) system and to investigate whether the settings can be adjusted for comfortable chronic use in subjects with morbid obesity. Gastric emptying and motility and meal intake were evaluated. METHOD:In a multicenter, phase 1, open prosp...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04422-6

    authors: Paulus GF,van Avesaat M,van Rijn S,Alleleyn AME,Swain JM,Abell TL,Williams DB,Bouvy ND,Masclee AAM

    更新日期:2020-05-01 00:00:00

  • Laparoscopic Adjustable Gastric Banding Revisions in Singapore: a 10-Year Experience.

    abstract:BACKGROUND:Bariatric surgery is increasingly being carried out and revisional procedures have also risen in concert. A review of the complications and revisions might elucidate technical and patient factors that influence the outcomes of bariatric surgeries in Asian patients. The objective of this study is to review th...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1852-y

    authors: Ngiam KY,Khoo VY,Kong L,Cheng AK

    更新日期:2016-05-01 00:00:00

  • Gastroesophageal Reflux Disease and Sleeve Gastrectomy.

    abstract::Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroes...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-015-1906-1

    authors: Melissas J,Braghetto I,Molina JC,Silecchia G,Iossa A,Iannelli A,Foletto M

    更新日期:2015-12-01 00:00:00

  • Laparoscopic hand-sewn revisional gastrojejunal plication for weight loss failure after Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Revisional surgery has become a widely accepted alternative for weight loss failure/regain after bariatric surgery. However, it is associated to higher morbi-mortality and lesser weight loss than primary bariatric procedure. Our aims are to present a novel technique for weight loss treatment after failed lap...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1463-z

    authors: León F,Maiz C,Daroch D,Quezada N,Gabrielli M,Muñoz C,Boza C

    更新日期:2015-04-01 00:00:00

  • Stomach Volume Assessment Using Three-dimensional Computed Tomography Gastrography for Bariatric Treatment.

    abstract:BACKGROUND:Most bariatric treatments employ gastric volume reduction. However, there has been no appropriate tool that could assess the anatomical factors of the stomach, and few studies have investigated proper stomach measurement for bariatric treatment. Thus, this study aimed to objectively estimate the individual s...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04189-5

    authors: Kim SH,Keum B,Choi HS,Kim ES,Seo YS,Jeen YT,Lee HS,Chun HJ,Um SH,Kim CD

    更新日期:2020-02-01 00:00:00

  • The diagnostic accuracy of transient elastography for the diagnosis of liver fibrosis in bariatric surgery candidates with suspected NAFLD.

    abstract:BACKGROUND:Severe obesity and metabolic syndrome have been implicated in the development of nonalcoholic fatty liver disease (NAFLD). We evaluated the diagnostic value of liver stiffness measurement (LSM), by transient elastography (FibroScan®) in bariatric surgery candidates with suspected NAFLD. METHODS:A total of 1...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-014-1235-9

    authors: Naveau S,Lamouri K,Pourcher G,Njiké-Nakseu M,Ferretti S,Courie R,Tranchart H,Ghinoiu M,Balian A,Prévot S,Perlemuter G,Dagher I

    更新日期:2014-10-01 00:00:00

  • Bio-enteric intragastric balloon in obese patients: a retrospective analysis of King Faisal Specialist Hospital experience.

    abstract:BACKGROUND:Bio-enteric intragastric balloon (BIB) insertion is gaining popularity for weight reduction in obese patients. We evaluated the efficacy, tolerability, and safety of BIB in the treatment of obesity. METHODS:A total of 173 Saudi obese patients [mean+/-SD age 34.5 +/- 11.6 years, 58 (33.5%) were men] who unde...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9654-0

    authors: Al Kahtani K,Khan MQ,Helmy A,Al Ashgar H,Rezeig M,Al Quaiz M,Kagevi I,Al Sofayan M,Al Fadda M

    更新日期:2010-09-01 00:00:00

  • Is There a Better Design for a Bariatric Procedure? The Case for a Single Anastomosis Duodenal Switch.

    abstract::The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with m...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-018-3535-y

    authors: Roslin M,Tugertimur B,Zarabi S,Cottam D

    更新日期:2018-12-01 00:00:00

  • Spectrum of endoscopic findings and therapy in patients with upper gastrointestinal symptoms after laparoscopic bariatric surgery.

    abstract:BACKGROUND:More should be known about the spectrum of endoscopic abnormalities and treatments in patients with upper gastrointestinal (UGI) symptoms after laparoscopic bariatric surgery. METHODS:Patients referred for endoscopic evaluation of UGI symptoms after laparoscopic bariatric surgery were studied. Clinical mani...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206778392176

    authors: Yang CS,Lee WJ,Wang HH,Huang SP,Lin JT,Wu MS

    更新日期:2006-09-01 00:00:00

  • Laparoscopic adjustable gastric banding versus open vertical banded gastroplasty: a prospective randomized trial.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding (LAGB) and open vertical banded gastroplasty (VBG) are treatment modalities for morbid obesity. However, few prospective randomized clinical trials (RCT) have been performed to compare both operations. METHODS:100 patients (50 per group) were included in the study. Po...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1381/096089205774512456

    authors: van Dielen FM,Soeters PB,de Brauw LM,Greve JW

    更新日期:2005-10-01 00:00:00

  • Elastic Fibers Density: a New Parameter of Improvement of NAFLD in Bariatric Surgery Patients.

    abstract:PURPOSE:Obesity is a major risk factor for nonalcoholic fatty liver disease (NAFLD), affecting 25% of the worldwide population. Weight loss through bariatric surgery can improve much of the liver steatosis, inflammation, and fibrosis. However, it is not known whether there is reversal of the elastic fiber deposition pr...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04722-x

    authors: Leite C,Starosta RT,Trindade EN,de Melo Monteiro E,Pereira PF,Trindade MRM,Álvares-da-Silva MR,Cerski CTS

    更新日期:2020-10-01 00:00:00

  • Risk of Delayed Discharge and Reoperation of Gastric Bypass Patients with Psychiatric Comorbidity-a Nationwide Cohort Study.

    abstract:BACKGROUND:Gastric bypass (GBP) surgery is considered a safe and effective treatment for obesity. However, there is uncertainty regarding the impact of preexisting psychiatric comorbidity on GBP complications. We have investigated whether a psychiatric diagnosis before GBP surgery is associated with delayed discharge (...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04483-7

    authors: Lagerros YT,Brandt L,Sundbom M,Hedberg J,Bodén R

    更新日期:2020-07-01 00:00:00

  • Ulcer Disease in the Excluded Segments after Roux-en-Y Gastric Bypass: a Current Review of the Literature.

    abstract::Ulcer disease in excluded segments after Roux-Y gastric bypass (RYGB) is rare but can evolve into a life-threatening situation. The excluded segments exhibit a different behavior from that of non-altered anatomy; perforated ulcers do not result in pneumoperitoneum or free fluid, and therefore must be met with a low th...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-020-05123-w

    authors: Plitzko G,Schmutz G,Kröll D,Nett PC,Borbély Y

    更新日期:2020-11-24 00:00:00