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Bariatric Emergencies for the General Surgeon

  • Richard M. Peterson
  • Pedro Pablo Gomez
  • Patrick Nguyen
Chapter

Abstract

Between 2011 and 2015, nearly one million bariatric surgeries were performed in the United States. With around 200,000 weight loss operations being performed annually in the United States, general surgeons face a growing number of bariatric surgical emergencies. This chapter deals with the most common surgical emergencies following the three most common bariatric surgeries being done currently and the best way in which to deal with them. The principles of rescue therapy and damage control are as applicable to the bariatric surgery patient as they are to trauma and general surgery patients. There are specific maneuvers for some of these emergencies, but in general, good surgical technique and judgment of the surgeon will prevail. In this chapter, we will discuss the algorithm of evaluating the emergent patient and approaches to diagnosis and treatment. Emergencies may be surgical in nature but may also be related to nutritional deficiencies. We will discuss how to assess for these nutritional deficiencies and best treatment options.

Keywords

Emergency Bariatric surgery General surgeon Gastric bypass Sleeve gastrectomy Laparoscopic adjustable gastric band Nutrition emergencies 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Richard M. Peterson
    • 1
  • Pedro Pablo Gomez
    • 1
  • Patrick Nguyen
    • 1
  1. 1.Department of SurgeryUniversity of Texas Health San AntonioSan AntonioUSA

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