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L’endoscopie après chirurgie bariatrique

Endoscopy after bariatric surgery

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Résumé

Aujourd’hui, la chirurgie bariatrique est bien établie dans le traitement de l’obésité morbide. Dans la majorité des cas, cette chirurgie se réalise sous cœlioscopie. Trois types d’interventions couvrent plus de 90% des gestes chirurgicaux.

Au vu de l’augmentation du nombre d’interventions réalisées, il est essentiel pour l’endoscopiste de connaître cette nouvelle anatomie endoscopique. Ainsi, l’aspect endoscopique normal de la gastroplastie verticale calibrée, du cerclage gastrique et du court-circuit gastrique est présenté. Le rôle de l’endoscopie dans le diagnostic et le traitement des complications des différentes techniques opératoires, sont revus en détail, sur la base de la littérature et de nos propres expériences.

Summary

Bariatric surgery is currently well established in the treatment of morbid obesity. In the majority of cases, this surgical procedure is carried out under laparoscopy. Three types of procedures cover more than 90% of this surgery.

Considering the increase of surgical procedures performed, it is essential for the endoscopist to know this new endoscopic anatomy. Thus, the normal endoscopic aspect of vertical banded gastroplasty, of gastric banding and of gastric bypass is presented. The role of endoscopy in the diagnosis and treatment of the different surgical complications is reviewed in detail, based on literature and on our own experience.

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Références

  1. 1.

    Chevallier JM, Pattou F. Chirurgie de l’obésité. Monographie de l’Association Française de Chirurgie. Arnette 2004.

  2. 2.

    Sjostrom L, Lindroos AK, Peltonen M et al. Lifestyle, diabetes and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 2004; 351: 2683–93.

  3. 3.

    Azagra JS, Goergen M, Ansay J et al. Laparsocopic gastric reduction surgery. Preliminary results of a randomized, prospective trial of laparoscopic vs. open vertical banded gastroplasty. Surg Endosc 1999; 13: 555–8.

  4. 4.

    Santry HP, Gillen Dl, Lauderdale DS. Trends in bariatric surgical procedures. JAMA 2005; 294: 1909–17.

  5. 5.

    Mason EE. Vertical banded gastroplasty for morbid obesity. Arch Surg 1992; 117: 701–6.

  6. 6.

    McLean LD, Rhode BM, Forse RA. Late results of vertical banded gastroplasty for morbid and superobesity. Surgery 1990; 107: 20–7.

  7. 7.

    Belachew M, Legrand M, Defechereux T et al. Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity: a preliminary report. Surg Endosc 1994; 8: 1354–6.

  8. 8.

    Ukleja A, Stone RL. Medical and gastroenterologic management of the post-bariatric surgery patient. J Clin Gastroenterol 2004; 38: 312–21.

  9. 9.

    Byrne TK. Complications of surgery for obesity. Surg Clin North Am 2001; 81: 1181–93.

  10. 10.

    Suter M, Jayet C, Jayet A. Vertical banded gastroplasty: long-term results comparing three different techniques. Obes Surg 2000; 10: 41–6.

  11. 11.

    Nguyen NT, Stevens CM, Wolfe BM. Incidence and outcome of anastomotic stricture after laparoscopic gastric bypass. J Gastrointest Surg 2003; 7: 997–1003.

  12. 12.

    Schwartz ML, Drew RL, Roiger RW et al. Stenosis of the gastroenterostomy after laparoscopic gastric bypass. Obes Surg 2004; 14: 484–91.

  13. 13.

    Ahmad J, Martin J, Ikramuddin S et al. Endoscopic balloon dilation of gastroenteric anastomotic stricture after laparoscopic gastric bypass. Endoscopy 2003; 35: 725–8.

  14. 14.

    Weber J, Azagra JS, Strock P et al. «Rendez-vous technique» Endsocopie-Laparoscopie: Dilatation au ballonnet d’une sténose anastomotique complète après bypass gastro-jéjunal par anse-en Y Roux. Journal de Cœlio-chirurgie 2005; 54: 25–7.

  15. 15.

    Martikainen T, Pirinen E, Alhava E et al. Long-term results, late complications and quality of life in a series of adjustable gastric banding. Obes Surg 2004; 14: 648–54.

  16. 16.

    Gustavsson S, Westling A. Laparoscopic adjustable gastric banding: complications and side effects responsible for the poor long-term outcome. Semin Laparosc Surg 2002; 9: 115–24.

  17. 17.

    Marano BJ. Endoscopy after roux-en-Y gastric bypass: a community hospital experience. Obes Surg 2005; 15: 342–5.

  18. 18.

    Huang Ch, Forse A, Jacobson B et al. Endocopic findings and their clinical correlations in patients with symptoms after gastric bypass surgery. Gastrointest Endsoc 2003; 58: 859–66.

  19. 19.

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

  20. 20.

    Stroh C, Hohmann U, Arnold F et al. Band-migration: a late complication of gastric banding. Chirurg 2005; 76: 689–95.

  21. 21.

    Loewe C, Diaz F, Jackson A. LAP-banding obesity: a case of stomach perforation, peritonitis, and death. Am J Forensic Med Pathol 2005; 26: 297.

  22. 22.

    Weiss H, Nehoda H, Labeck B et al. Gastroscopic band removal after intragastric migration of adjustable gastric band: a new minimal invasive technique. Obes Surg 2000; 10: 167–70.

  23. 23.

    Sakai P, Hondo FY, de Almeida Artifon EL et al. Symptomatic neumoperitoneum after endoscopic removal of adjustable gastric band. Obes Surg 2005; 15: 893–6.

  24. 24.

    Msika S. Surgery for morbid obesity: 2 Complications. Results of a technologic evaluation by the ANAES. J Chir (Paris) 2003; 140: 4–21.

  25. 25.

    Papavramidis S, Eleftheriadis E, Papavramidis Th et al. Endoscopic management of gastrocutaneous fistula after bariatric surgery by using a fibrin sealant. Gastrointest Endosc 2004; 59: 296–300.

  26. 26.

    Meguid MM, Campos ACL. Preface: surgical management of gastrointestinal fistulas. Surg Clin North Am 1996; 76: 1035–80.

  27. 27.

    Rolandelli R, Roslyn JJ. Surgical management and treatment of sepsis associated with gastrointestinal fistulas. Surg Clin North Am 1996; 76: 1111–22.

  28. 28.

    Chung MA, Wanebo HS. Surgical management and treatment of gastric and duodenal fistulas. Surg Clin North Am 1996; 76: 1137–46.

  29. 29.

    Raijman I, Strother SV, Donegan WL. Gastric cancer after gastric bypass for obesity. J Clin Gastroenterol 1991; 13: 191–4.

  30. 30.

    Lord RV, Edwards PD, Coleeman MJ. Gastric cancer in the bypassed segment after operation for morbid obesity. Aust N Z J Surg 1997; 67: 580–2.

  31. 31.

    Trincado MT, del Olmo JC, Garcia Castano J et al. Gastric pouch carcinoma after gastric bypass for morbid obesity 5 years after Roux -en-Y gastric bypass. Obes Surg 2005; 15: 1215.

  32. 32.

    Sundbom M, Nyman R, Hedenstrom H et al. Investigation of the excluded stomach after Roux-en-Y gastric bypass. Obes Surg 2001; 11: 25.

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Author information

Correspondence to J. Weber.

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Weber, J., Azagra-Goergen, M., Strock, P. et al. L’endoscopie après chirurgie bariatrique. Acta Endosc 37, 27–37 (2007). https://doi.org/10.1007/BF02961814

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Mots-clés

  • chirurgie bariatrique
  • endoscopie

Key-words

  • bariatric surgery
  • endoscopy