Complications of Roux-en-Y Gastric Bypass

Chapter

Abstract

While RYGB persists as the gold standard for weight loss procedures, complications are not infrequent. Adverse events can be categorized by their timing postoperatively, generally occurring in the perioperative setting within 72 h, acutely within the first 8 weeks, or late postoperatively after 8 weeks as acute or chronic events. Expeditious diagnosis and management of life-threatening complications, like gastrointestinal bleed, leak, or small bowel obstruction, are essential, and bariatric surgeons must maintain a low index of suspicion for these events on patient presentation. Furthermore, patients may endorse vague symptoms associated with a variety of possible chronic complications to which the surgeon must be keenly attuned. This chapter provides a framework to identify potential complications after RYGB and aid in establishing a treatment strategy for these patients.

Keywords

Roux-en-Y gastric bypass Anastomotic leak Marginal ulcer Anastomotic stricture Internal hernia Candy cane syndrome Gastrogastric fistula Dumping syndrome Post-gastric bypass hypoglycemia 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Baystate Medical Center, Department of SurgeryUniversity of Massachusetts Medical CenterSpringfieldUSA

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