Abstract
Background
As the number of obese patients in the United States continues to grow, there is a
parallel increase in the number of bariatric surgery patients. A quarter of these
patients will return to the Emergency Department (ED) within the first two years of
the index procedure.
Objective
An understanding of the most common bariatric procedures and their related complications
will greatly aide the Emergency Medicine physician in the care of these patients.
Discussion
Abdominal pain is the most common reason for bariatric patients to present to the
ED and can represent a diagnostic challenge to EM physicians. It is important that
EM physicians have a good understanding of bariatric procedures. We describe the three
most common bariatric procedures: 1) the Laparoscopic Adjustable Gastric Banding (LAGB);
2) the Laparoscopic Sleeve Gastrectomy (LSG); 3) and the Roux-en-Y Gastric Bypass
(RYGB). Due to the unique altered anatomy following the procedures there are specific
complications related to each individual procedure. We will describe the most common
presentations of abdominal pain in the post bariatric surgery patient. Finally, we
will review new endoscopic procedures and the associated complications that may cause
patients to present to the ED.
Conclusion
Certain complications in bariatric surgery patients can have a high rate of morbidity
and mortality. An improved understanding of bariatric procedures and their complications
will allow for improved vigilance and management.
Keywords
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Article Info
Publication History
Published online: November 30, 2017
Accepted:
November 20,
2017
Received in revised form:
November 3,
2017
Received:
June 17,
2017
Footnotes
☆Disclosure: The authors have no relevant disclosures.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
