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Bowel Obstructions in Bariatric Surgery Patients: How Are They Managed Differently from Other Surgical Patients?

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Gastrointestinal Emergencies

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Abstract

Obesity is steadily increasing throughout the world with an increasing number of bariatric surgeries performed annually. The three most commonly performed procedures include adjustable gastric band, sleeve gastrectomy, and Roux-en-Y gastric bypass. Small bowel obstructions occurring in bariatric patients have a much higher rate of necessitating surgical intervention. Slippage of adjustable gastric bands leading to obstruction requires removal. Obstruction following sleeve gastrectomy requires endoscopic dilation or conversion to Roux-en-Y. Obstructions in the setting of Roux-en-Y require treatment of strictures and closure of mesenteric gaps preventing hernias following weight loss.

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Author information

Authors and Affiliations

  1. Division of Emergency Medicine, Duke University Medical Center, Durham, NC, USA

    Michael O’Keefe

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  1. Michael O’Keefe
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Correspondence to Michael O’Keefe .

Editor information

Editors and Affiliations

  1. Department of Emergency Medicine, MedStar Georgetown University Hospital, Washington, DC, USA

    Autumn Graham

  2. Department of Emergency Medicine, MedStar Georgetown University Hospital, Washington, DC, USA

    David J. Carlberg

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O’Keefe, M. (2019). Bowel Obstructions in Bariatric Surgery Patients: How Are They Managed Differently from Other Surgical Patients?. In: Graham, A., Carlberg, D.J. (eds) Gastrointestinal Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-98343-1_123

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  • DOI: https://doi.org/10.1007/978-3-319-98343-1_123

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98342-4

  • Online ISBN: 978-3-319-98343-1

  • eBook Packages: MedicineMedicine (R0)

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