Advertisement

Role of Flexible Endoscopy in the Practice of Bariatric Surgery

  • Bruce Schirmer R. 

Abstract

Bariatric surgery underwent an explosion in terms of patient demand, the number of procedures performed, and the number of surgeons performing it from the years 1998 to 2003. Since then, the insurance industry has successfully limited the growth of this field with blanket denials for coverage, adopting policies that require expensive riders for bariatric coverage, and otherwise limiting expenditures for bariatric surgery with the undocumented excuse that the rise in volume has led to increased complications. This has served to halt the beneficial spread of the only known successful treatment for the comorbid medical problems caused by severe obesity.

Keywords

Bariatric Surgery Gastric Bypass Morbid Obesity Balloon Dilatation Vertical Band Gastroplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Schirmer B, Erenoglu C, Miller A. Flexible endoscopy in the management of patients undergoing Roux-en-Y gastric bypass. Obes Surg 2002;12:634–638.CrossRefPubMedGoogle Scholar
  2. 2.
    Ramaswamy A, Lin E, Ramshaw BJ, Smith CD. Early effects of Helicobacter pylori infection in patients under-going bariatric surgery. Arch Surg 2004;139:1094–1096.CrossRefPubMedGoogle Scholar
  3. 3.
    Sharaf RN, Weinshel EH, Bini EJ, Rosenberg J, Sherman A, Ren CJ. Endoscopy plays an important preoperative role in bariatric surgery. Obes Surg 2004;14:1367–1372.CrossRefPubMedGoogle Scholar
  4. 4.
    Verset D, Houben J-J, Gay F, Elcheroth J, Bourgeois V, Van Gossum A. The place of upper gastrointestinal tract endoscopy before and after vertical banded gastroplasty for morbid obesity. Dig Dis Sci 1997;42:2333–2337.CrossRefPubMedGoogle Scholar
  5. 5.
    Hagen J, Deitel M, Khanna RK, Ilves R. Gastroesophageal reflux in the massively obese. Int Surg 1987;72:1–3.PubMedGoogle Scholar
  6. 6.
    Papavramidis ST, Theorcharidis AJ, Zaraboukas TG, et al. Upper gastrointestinal endoscopic and histologic findings before and after vertical banded gastroplasty. Surgical Endoscopy 1996;10:825–830.CrossRefPubMedGoogle Scholar
  7. 7.
    Wittgrove AC, Clark GW. Laparoscopic gastric bypass: a five-year prospective study of 500 patients followed from 3 to 60 months. Obes Surg 1999;9:123–143.CrossRefGoogle Scholar
  8. 8.
    Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 2000;232:515–529.PubMedCentralCrossRefPubMedGoogle Scholar
  9. 9.
    Gagner M, Garcia-Ruiz A, Arca MJ, Heniford TB. Laparoscopic isolated gastric bypass for morbid obesity. Surg Endosc 1999;S19:S6.Google Scholar
  10. 10.
    Champion JK, Hunt T, DeLisle N. Role of routine intraoperative endoscopy in laparoscopic bariatric surgery. Surg Endosc 2002;16:1663–1665.CrossRefPubMedGoogle Scholar
  11. 11.
    Mittendorf EA, Brandt CP. Utility of intraoperative endoscopy: implications for surgical education. Surg Endosc 2002;16:703–706.CrossRefPubMedGoogle Scholar
  12. 12.
    Go MR, Muscarella P, Needleman BJ, et al. Endoscopic management of stomal stenosis after Roux-en-Y gastric bypass. Surg Endosc 2004;18:56–59.CrossRefPubMedGoogle Scholar
  13. 13.
    Goitein D, Papasavas PK, Gagne D, et al. Gastrojejunal strictures following laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc 2005;19:628–632.CrossRefPubMedGoogle Scholar
  14. 14.
    Schwartz ML, Drew RL, Roiger RW, Ketover SR, Chazin-Caldie M. Stenosis of the gastroenterostomy after laparoscopic gastric bypass. Obes Surg 2004;484–491.Google Scholar
  15. 15.
    Vance PL, de Lange EE, Shaffer HA Jr, Schirmer B. Gastric outlet obstruction following surgery for morbid obesity: efficacy of fluoroscopically guided balloon dilatation. Radiology 2002;222:70–72.CrossRefPubMedGoogle Scholar
  16. 16.
    Wayman CS, Nord JH, Combs WM, Rosemurgy AS. The role of endoscopy after vertical banded gastroplasty. Gastrointest Endosc 1992;38:44–46.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Bruce Schirmer R. 
    • 1
  1. 1.Department of Surgery, Health Sciences CenterUniversity of Virginia Health SystemCharlottesvilleUSA

Personalised recommendations