Obesity is a growing problem all over the world, especially in the United States, Europe, and Australia. Currently, bariatric surgery offers the only effective long-term weight loss therapy for morbidly obese patients. Increased media attention to these procedures as well as the newer option of laparoscopic treatment has led patients and surgeons to embrace this surgical option in an elevated number, particularly the option of Roux-en-Y gastric bypass (RYGBP) and sleeve gastrectomy (SG). Obesity surgery also has significant rates of complications, which can be as high as 32.8%, such as anastomotic or staple line leaks, abdominal abscess, gastrointestinal bleeding, intestinal obstruction, anastomotic strictures, choledocholithiasis in patients with modified anatomy due to RYGB, and acute gastric dilatation, among others.
It is important for the bariatric surgeon to recognize these complications and know which of them can be solved in a minimal invasive way in order to offer to patients the best treatment.
Complications Bariatric surgery Percutaneous surgery Treatment Minimally invasive surgery
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Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemic of obesity and diabetes in the United States. JAMA. 2001;286:1195–200.CrossRefPubMedGoogle Scholar
Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.CrossRefPubMedGoogle Scholar
Encinosa WE, Bernard DM, Du D, Steiner CA. Recent improvements in bariatric surgery outcomes. Med Care. 2009;47(5):531–5.CrossRefPubMedGoogle Scholar
Livingston EH, Ko CY. Assessing the relative contribution of individual risk factors on surgical outcome for gastric bypass surgery: a baseline probability analysis. J Surg Res. 2002;105(1):48–52.CrossRefPubMedGoogle Scholar
Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M. The science of stapling and leaks. Obes Surg. 2004;14(10):1290–8.CrossRefPubMedGoogle Scholar
Warschkow R, Tarantino I, Ukegjini K, Beutner U, Güller U, Schmied BM, Müller SA, Schultes B, Thurnheer M. Concomitant cholecystectomy during laparoscopic roux-en-Y gastric bypass in obese patients is not justified: a meta-analysis. Obes Surg. 2013;23:397–407.CrossRefPubMedGoogle Scholar
Gimenez ME, Berkowski D, Cordoba P. Obstrucción biliar benigna. In: Gimenez M, Guimaraes M, Oleaga J, Sierre S, editors. Manual de técnicas intervencionistas guiadas por imágenes. Buenos Aires: Ediciones Journal; 2011. p. 119–38.Google Scholar
García-García L, Lanciego C. Percutaneous treatment of biliary stones: sphincteroplasty and occlusion balloon for the clearance of bile duct calculi. AJR. 2004;182:663–70.CrossRefPubMedGoogle Scholar
Szulman C, Giménez M, Sierre S. Antegrade papillary balloon dilation for extrahepatic bile duct stone clearance: lessons learned from treating 300 patients. J Vasc Interv Radiol. 2011;22(3):346–53.CrossRefPubMedGoogle Scholar
Gil S, de la Iglesia P, Verdú JF, de España F, Arenas J, Effectiveness IJ. Safety of balloon dilation of the papilla and the use of an occlusion balloon for clearance of bile duct calculi. AJR Am J Roentgenol. 2000;174(5):1455–60.CrossRefPubMedGoogle Scholar
Aquafresca PA, Palermo M, Rogula T, Duza GE, Serra E. Complicações cirúrgicas tardias após by-pass gástrico: revisão da literatura. Arq Bras Cir Dig. 2015;28(2):139–143Google Scholar
Palermo M, Gimenez M, Gagner M. Laparoscopic gastrointestinal surgery. Novel techniques, extending the limits. Agarani: AMOCA; 2015.Google Scholar