Advertisement
ASMBS Guidelines/Statements|Articles in Press

Bariatric emergencies for the general surgeon

Published:February 14, 2023DOI:https://doi.org/10.1016/j.soard.2023.02.007
      Metabolic and bariatric surgeries (MBS) are types of operations that are performed commonly worldwide in the treatment of obesity and metabolic disease (Fig. 1). It is important for the general surgeon to be familiar with diagnoses that can present as surgical emergencies, their etiology, and recommended management. MBS has been shown to be an effective and durable treatment of obesity and obesity-related co-morbid conditions [
      • Schauer P.R.
      • Bhatt D.L.
      • Kirwan J.P.
      • et al.
      Bariatric surgery versus intensive medical therapy for diabetes — 5-year outcomes.
      ,
      • O'Brien P.E.
      • Hindle A.
      • Brennan L.
      • et al.
      Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding.
      ,
      • Courcoulas A.P.
      • King W.C.
      • Belle S.H.
      • et al.
      Seven-year weight trajectories and health outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) study.
      ,
      • Adams T.D.
      • Davidson L.E.
      • Litwin S.E.
      • et al.
      Weight and metabolic outcomes 12 years after gastric bypass.
      ]. The benefits of MBS are seen across diverse populations of age, sex, ethnic and racial groups, and socioeconomic backgrounds [
      • Athanasiadis D.I.
      • Martin A.
      • Kapsampelis P.
      • Monfared S.
      • Stefanidis D.
      Factors associated with weight regain post-bariatric surgery: a systematic review.
      ,
      • Nor Hanipah Z.
      • Nasr E.C.
      • Bucak E.
      • et al.
      Efficacy of adjuvant weight loss medication after bariatric surgery.
      ,
      • Olbers T.
      • Beamish A.J.
      • Gronowitz E.
      • et al.
      Laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity (AMOS): a prospective, 5-year, Swedish nationwide study.
      ,
      • Memarian E.
      • Sundquist K.
      • Calling S.
      • Sundquist J.
      • Li X.
      Socioeconomic factors, body mass index and bariatric surgery: a Swedish nationwide cohort study.
      ]. As the global obesity epidemic has persisted over the past several decades, the demand for MBS has increased, such that MBS is now one of the most commonly performed elective operations in general surgery with more than 250,000 annual operations performed in the United States [

      American Society of Metabolic and Bariatric Surgery [Internet]. Newberry (FL): The Society; 2022 [cited 2022 Nov 3]. Estimate of bariatric surgery numbers 2011–2019; [about 1 screen]. Available from: https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers.

      ,
      • Campos G.M.
      • Khoraki J.
      • Browning M.G.
      • Pessoa B.M.
      • Mazzini G.S.
      • Wolfe L.
      Changes in utilization of bariatric surgery in the United States From 1993 to 2016.
      ]. The growing potential for acute postsurgical presentations of patients who have undergone MBS in emergency rooms has been recognized [
      Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery
      American Society for Metabolic and Bariatric Surgery position statement on emergency care of patients with complications related to bariatric surgery.
      ].
      Figure thumbnail gr1
      Fig. 1Commonly performed bariatric procedures. (A) Roux-en-Y gastric bypass. (B) Laparoscopic adjustable gastric band. (C) Sleeve gastrectomy. (D) Duodenal switch.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery for Obesity and Related Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Schauer P.R.
        • Bhatt D.L.
        • Kirwan J.P.
        • et al.
        Bariatric surgery versus intensive medical therapy for diabetes — 5-year outcomes.
        N Engl J Med. 2017; 376: 641-651
        • O'Brien P.E.
        • Hindle A.
        • Brennan L.
        • et al.
        Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding.
        Obes Surg. 2019; 29: 3-14
        • Courcoulas A.P.
        • King W.C.
        • Belle S.H.
        • et al.
        Seven-year weight trajectories and health outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) study.
        JAMA Surg. 2018; 53: 427-434
        • Adams T.D.
        • Davidson L.E.
        • Litwin S.E.
        • et al.
        Weight and metabolic outcomes 12 years after gastric bypass.
        N Engl J Med. 2017; 377: 1143-1155
        • Athanasiadis D.I.
        • Martin A.
        • Kapsampelis P.
        • Monfared S.
        • Stefanidis D.
        Factors associated with weight regain post-bariatric surgery: a systematic review.
        Surg Endo. 2021; 35: 4069-4084
        • Nor Hanipah Z.
        • Nasr E.C.
        • Bucak E.
        • et al.
        Efficacy of adjuvant weight loss medication after bariatric surgery.
        Surg Obes Relat Dis. 2018; 14: 93-98
        • Olbers T.
        • Beamish A.J.
        • Gronowitz E.
        • et al.
        Laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity (AMOS): a prospective, 5-year, Swedish nationwide study.
        Lancet Diabetes Endocrinol. 2017; 5: 174-183
        • Memarian E.
        • Sundquist K.
        • Calling S.
        • Sundquist J.
        • Li X.
        Socioeconomic factors, body mass index and bariatric surgery: a Swedish nationwide cohort study.
        BMC Public Health. 2019; 19: 258
      1. American Society of Metabolic and Bariatric Surgery [Internet]. Newberry (FL): The Society; 2022 [cited 2022 Nov 3]. Estimate of bariatric surgery numbers 2011–2019; [about 1 screen]. Available from: https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers.

        • Campos G.M.
        • Khoraki J.
        • Browning M.G.
        • Pessoa B.M.
        • Mazzini G.S.
        • Wolfe L.
        Changes in utilization of bariatric surgery in the United States From 1993 to 2016.
        Ann Surg. 2020; 271: 201-209
        • Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery
        American Society for Metabolic and Bariatric Surgery position statement on emergency care of patients with complications related to bariatric surgery.
        Surg Obes Relat Dis. 2010; 6: 115-117
      2. International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) [Internet]. Reading (UK): IFSO & Dendrite Clinical Systems, Ltd.; 2019 [cited 2022 Feb 24]. 5th IFSO global registry report; [100 p.]. Available from: https://www.ifso.com/pdf/5th-ifso-global-registry-report-september-2019.pdf.

        • Arterburn D.E.
        • Telem D.A.
        • Kushner R.F.
        • Courcoulas A.P.
        Benefits and risks of bariatric surgery in adults: a review.
        JAMA Surg. 2020; 324: 879-887
        • Ingraham A.M.
        • Cohen M.E.
        • Ko C.Y.
        • Hall B.L.
        A current profile and assessment of north american cholecystectomy: results from the American College of Surgeons National Surgical Quality Improvement Program.
        J Am Coll Surg. 2010; 211: 176-186
        • Niebisch S.
        • Fleming F.J.
        • Galey K.M.
        • et al.
        Perioperative risk of laparoscopic fundoplication: safer than previously reported-analysis of the American College of Surgeons National Surgical Quality Improvement Program 2005 to 2009.
        J Am Coll Surg J. 2012; 215 (discussion 68–9): 61-68
        • Sharma S.
        • Aziz M.
        • Vohra I.
        • et al.
        Rates and predictors of 30-day readmissions in patients undergoing bariatric surgery in the US: a nationwide study.
        Obes Surg. 2021; 31: 62-69
        • Telem D.A.
        • Yang J.
        • Altieri M.
        • et al.
        Rates and risk factors for unplanned emergency department utilization and hospital readmission following bariatric surgery.
        Ann Surg. 2016; 263: 956-960
        • Daigle C.R.
        • Brethauer S.A.
        • Tu C.
        • et al.
        Which postoperative complications matter most after bariatric surgery? Prioritizing quality improvement efforts to improve national outcomes.
        Surg Obes Relat Dis. 2018; 14: 652-657
        • Spaniolas K.
        • Kasten K.R.
        • Sippey M.E.
        • Pender J.R.
        • Chapman W.H.
        • Pories W.J.
        Pulmonary embolism and gastrointestinal leak following bariatric surgery: when do major complications occur?.
        Surg Obes Relat Dis. 2016; 12: 379-383
        • Buchwald H.
        • Estok R.
        • Fahrbach K.
        • Banel D.
        • Sledge I.
        Trends in mortality in bariatric surgery: a systematic review and meta-analysis.
        Surgery. 2007; 142: 621-632
        • Zellmer J.D.
        • Mathiason M.A.
        • Kallies K.J.
        • Kothari S.N.
        Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis.
        Am J Surg. 2014; 208: 903-910
        • Yolsuriyanwong K.
        • Ingviya T.
        • Kongkamol C.
        • Marcotte E.
        • Chand B.
        Effects of intraoperative leak testing on postoperative leak-related outcomes after primary bariatric surgery: an analysis of the MBSAQIP database.
        Surg Obes Relat Dis. 2019; 15: 1530-1540
        • Biertho L.
        • Lebel S.
        • Marceau S.
        • et al.
        Perioperative complications in a consecutive series of 1000 duodenal switches.
        Surg Obes Relat Dis. 2013; 9: 63-68
        • Inabnet W.B.
        • Winegar D.A.
        • Sherif B.
        • Sarr M.G.
        Early outcomes of bariatric surgery in patients with metabolic syndrome: an analysis of the bariatric outcomes longitudinal database.
        J Am Coll Surg. 2012; 214: 550-556
        • Mocanu V.
        • Dang J.
        • Ladak F.
        • Switzer N.
        • Birch D.W.
        • Karmali S.
        Predictors and outcomes of leak after Roux-en-Y gastric bypass: an analysis of the MBSAQIP data registry.
        Surg Obes Relat Dis. 2019; 15: 396-403
        • Rosenthal R.J.
        • Diaz A.A.
        • et al.
        • International Sleeve Gastrectomy Expert Panel
        International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases.
        Surg Obes Relat Dis. 2012; 8: 8-19
        • Parikh M.
        • Issa R.
        • McCrillis A.
        • Saunders J.K.
        • Ude-Welcome A.
        • Gagner M.
        Surgical strategies that may decrease leak after laparoscopic sleeve gastrectomy: a systematic review and meta-analysis of 9991 cases.
        Ann Surg. 2013; 257: 231-237
        • Kim J.
        • Azagury D.
        • Eisenberg D.
        • DeMaria E.
        • Campos G.M.
        American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS position statement on prevention, detection, and treatment of gastrointestinal leak after gastric bypass and sleeve gastrectomy, including the roles of imaging, surgical exploration, and nonoperative management.
        Surg Obes Relat Dis. 2015; 11: 739-748
        • Hamilton E.C.
        • Sims T.L.
        • Hamilton T.T.
        • Mullican M.A.
        • Jones D.B.
        • Provost D.A.
        Clinical predictors of leak after laparoscopic Roux-en-Y gastric bypass for morbid obesity.
        Surg Endosc. 2003; 17: 679-684
        • Sakran N.
        • Goitein D.
        • Raziel A.
        • et al.
        Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients.
        Surg Endo. 2013; 27: 240-245
        • Marshall J.S.
        • Srivastava A.
        • Gupta S.K.
        • Rossi T.R.
        • DeBord J.R.
        Roux-en-Y gastric bypass leak complications.
        Arch Surg. 2003; 138: 520-523
        • Ballesta C.
        • Berindoague R.
        • Cabrera M.
        • Palau M.
        • Gonzales M.
        Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass.
        Obes Surg. 2008; 18: 623-630
        • Burgos A.M.
        • Braghetto I.
        • Csendes A.
        • et al.
        Gastric leak after laparoscopic-sleeve gastrectomy for obesity.
        Obes Surg. 2009; 19: 1672-1677
        • Thodiyil P.A.
        • Yenumula P.
        • Rogula T.
        • et al.
        Selective nonoperative management of leaks after gastric bypass: lessons learned from 2675 consecutive patients.
        Ann Surg. 2008; 248: 782-792
        • Giuliani A.
        • Romano L.
        • Marchese M.
        • et al.
        Gastric leak after laparoscopic sleeve gastrectomy: management with endoscopic double pigtail drainage. A systematic review.
        Surg Obes Relat Dis. 2019; 15: 1414-1419
        • Rebibo L.
        • Delcenserie R.
        • Brazier F.
        • Yzet T.
        • Regimbeau J.M.
        Treatment of gastric leaks after sleeve gastrectomy.
        Endoscopy. 2016; 48: 590
        • Martin Del Campo S.E.
        • Mikami D.J.
        • Needleman B.J.
        • Noria S.F.
        Endoscopic stent placement for treatment of sleeve gastrectomy leak: a single institution experience with fully covered stents.
        Surg Obes Relat Dis. 2018; 14: 453-461
        • Simon F.
        • Siciliano I.
        • Gillet A.
        • Castel B.
        • Coffin B.
        • Msika S.
        Gastric leak after laparoscopic sleeve gastrectomy: early covered self-expandable stent reduces healing time.
        Obes Surg. 2013; 23: 687-692
        • Eisendrath P.
        • Cremer M.
        • Himpens J.
        • Cadière G.B.
        • Le Moine O.
        • Devière J.
        Endotherapy including temporary stenting of fistulas of the upper gastrointestinal tract after laparoscopic bariatric surgery.
        Endoscopy. 2007; 39: 625-630
        • Shoar S.
        • Hosseini F.S.
        • Gulraiz A.
        • et al.
        Intrathoracic gastric fistula after bariatric surgery: a systematic review and pooled analysis.
        Surg Obes Relat Dis. 2021; 17: 630-643
        • Pauli E.M.
        • Beshir H.
        • Mathew A.
        Gastrogastric fistulae following gastric bypass surgery-clinical recognition and treatment.
        Curr Gastroenterol Rep. 2014; 16: 405
        • Carrodeguas L.
        • Szomstein S.
        • Soto F.
        • et al.
        Management of gastrogastric fistulas after divided Roux-en-Y gastric bypass surgery for morbid obesity: analysis of 1,292 consecutive patients and review of literature.
        Surg Obes Relat Dis. 2005; 1: 467-474
        • Coblijn U.K.
        • Lagarde S.M.
        • de Castro S.M.
        • Kuiken S.D.
        • van Wagensveld B.A.
        Symptomatic marginal ulcer disease after Roux-en-Y gastric bypass: incidence, risk factors and management.
        Obes Surg. 2015; 25: 805-811
        • Clapp B.
        • Hahn J.
        • Dodoo C.
        • Guerra A.
        • de la Rosa E.
        • Tyroch A.
        Evaluation of the rate of marginal ulcer formation after bariatric surgery using the MBSAQIP database.
        Surg Endosc. 2019; 33: 1890-1897
        • Csendes A.
        • Burgos A.M.
        • Altuve J.
        • Bonacic S.
        Incidence of marginal ulcer 1 month and 1 to 2 years after gastric bypass: a prospective consecutive endoscopic evaluation of 442 patients with morbid obesity.
        Obes Surg. 2009; 19: 135-138
        • Sverdén E.
        • Mattsson F.
        • Sondén A.
        • et al.
        Risk factors for marginal ulcer after gastric bypass surgery for obesity: a population-based cohort study.
        Ann Surg. 2016; 263: 733-737
        • Altieri M.S.
        • Pryor A.
        • Yang J.
        • et al.
        The natural history of perforated marginal ulcers after gastric bypass surgery.
        Surg Endosc. 2018; 32: 1215-1222
        • Sidani S.
        • Akkary E.
        • Bell R.
        Catastrophic bleeding from a marginal ulcer after gastric bypass.
        JSLS. 2013; 17: 148-151
        • Rasmussen J.J.
        • Fuller W.
        • Ali M.R.
        Marginal ulceration after laparoscopic gastric bypass: an analysis of predisposing factors in 260 patients.
        Surg Endosc. 2007; 21: 1090-1094
        • Rodrigo D.C.
        • Jill S.
        • Daniel M.
        • Kimberly C.
        • Maher E.C.
        Which factors correlate with marginal ulcer after surgery for obesity?.
        Obes Surg. 2020; 30: 4821-4827
        • Gumbs A.A.
        • Duffy A.J.
        • Bell R.L.
        Incidence and management of marginal ulceration after laparoscopic Roux-Y gastric bypass.
        Surg Obes Relat Dis. 2006; 2: 460-463
        • Ribeiro-Parenti L.
        • Arapis K.
        • Chosidow D.
        • Marmuse J.P.
        Comparison of marginal ulcer rates between antecolic and retrocolic laparoscopic Roux-en-Y gastric bypass.
        Obes Surg. 2015; 25: 215-221
        • El-Hayek K.
        • Timratana P.
        • Shimizu H.
        • Chand B.
        Marginal ulcer after Roux-en-Y gastric bypass: what have we really learned?.
        Surg Endosc. 2012; 26: 2789-2796
        • Wernick B.
        • Jansen M.
        • Noria S.
        • Stawicki S.P.
        • El Chaar M.
        Essential bariatric emergencies for the acute care surgeon.
        Eur J Trauma Emerg Surg. 2016; 42: 571-584
        • Carr W.R.
        • Mahawar K.K.
        • Balupuri S.
        • Small P.K.
        An evidence-based algorithm for the management of marginal ulcers following Roux-en-Y gastric bypass.
        Obes Surg. 2014; 24: 1520-1527
        • Wheeler A.A.
        • de la Torre R.A.
        • Fearing N.M.
        Laparoscopic repair of perforated marginal ulcer following Roux-en-Y gastric bypass: a case series.
        J Laparoendosc Adv Surg Tech A. 2011; 21: 57-60
        • Azagury D.E.
        • Abu Dayyeh B.K.
        • Greenwalt I.T.
        • Thompson C.C.
        Marginal ulceration after Roux-en-Y gastric bypass surgery: characteristics, risk factors, treatment, and outcomes.
        Endoscopy. 2011; 43: 950-954
        • Schirmer B.D.
        • Meyers W.C.
        • Hanks J.B.
        • Kortz W.J.
        • Jones R.S.
        • Postlethwait R.W.
        Marginal ulcer. A difficult surgical problem.
        Ann Surg. 1982; 195: 653-661
        • Adduci A.J.
        • Phillips C.H.
        • Harvin H.
        Prospective diagnosis of marginal ulceration following Roux-en-Y gastric bypass with computed tomography.
        Radiol Case Rep. 2016; 10: 1063
        • Moon R.C.
        • Teixeira A.F.
        • Goldbach M.
        • Jawad M.A.
        Management and treatment outcomes of marginal ulcers after Roux-en-Y gastric bypass at a single high volume bariatric center.
        Surg Obes Relat Dis. 2013; 10: 229-234
        • Patel R.A.
        • Brolin R.E.
        • Gandhi A.
        Revisional operations for marginal ulcer after Roux-en-Y gastric bypass.
        Surg Obes Relat Dis. 2009; 5: 317-322
        • Pyke O.
        • Yang J.
        • Cohn T.
        • et al.
        Marginal ulcer continues to be a major source of morbidity over time following gastric bypass.
        Surg Endosc. 2019; 33: 3451-3456
        • Wendling M.R.
        • Linn J.G.
        • Keplinger K.M.
        • et al.
        Omental patch repair effectively treats perforated marginal ulcer following Roux-en-Y gastric bypass.
        Surg Endosc. 2012; 27: 384-389
        • Kalaiselvan R.
        • Abu Dakka M.
        • Ammori B.J.
        Late perforation at the jejuno-jejunal anastomosis after laparoscopic gastric bypass for morbid obesity.
        Surg Obes Relat Dis. 2013; 9: 874-878
        • Lee Y.C.
        • Wang H.P.
        • Yang C.S.
        • et al.
        Endoscopic hemostasis of a bleeding marginal ulcer: hemoclipping or dual therapy with epinephrine injection and heater probe thermocoagulation.
        J Gastroenterol Hepatol. 2002; 17: 1220-1225
        • Madan A.K.
        • DeArmond G.
        • Ternovits C.A.
        • Beech D.J.
        • Tichansky D.S.
        Laparoscopic revision of the gastrojejunostomy for recurrent bleeding ulcers after past open revision gastric bypass.
        Obes Surg. 2006; 16: 1662-1668
        • Brethauer S.A.
        • Kothari S.
        • Sudan R.
        • et al.
        Systematic review on reoperative bariatric surgery: American Society for Metabolic and Bariatric Surgery Revision Task Force.
        Surg Obes Relat Dis. 2014; 10: 952-972
        • Khrucharoen U.
        • Juo Y.Y.
        • Wongpongsalee T.
        • Chen Y.
        • Dutson E.P.
        Risk factors for readmission for early small bowel obstruction following laparoscopic Roux-en-Y gastric bypass: an MBSAQIP analysis.
        Surg Obes Relat Dis. 2021; 17: 1041-1048
        • Al Harakeh A.B.
        • Kallies K.J.
        • Borgert A.J.
        • Kothari S.N.
        Bowel obstruction rates in antecolic/antegastric versus retrocolic/retrogastric Roux limb gastric bypass: a meta-analysis.
        Surg Obes Relat Dis. 2016; 12: 194-198
        • Elms L.
        • Moon R.C.
        • Varnadore S.
        • Teixeira A.F.
        • Jawad M.A.
        Causes of small bowel obstruction after Roux-en-Y gastric bypass: a review of 2,395 cases at a single institution.
        Surg Endosc. 2014; 28: 1624-1628
        • Lim R.
        • Beekley A.
        • Johnson D.C.
        • Davis K.A.
        Early and late complications of bariatric operation.
        Trauma Surg Acute Care Open. 2018; 3e000219
        • Geubbels N.
        • Lijftogt N.
        • Fiocco M.
        • van Leersum N.J.
        • Wouters M.W.
        • de Brauw L.M.
        Meta-analysis of internal herniation after gastric bypass surgery.
        Br J Surg. 2015; 102: 451-460
        • Obeid N.R.
        • Malick W.
        • Concors S.J.
        • Fielding G.A.
        • Kurian M.S.
        • Ren-Fielding C.J.
        Long-term outcomes after Roux-en-Y gastric bypass: 10- to 13-year data.
        Surg Obes Relat Dis. 2016; 12: 11-20
        • Khwaja H.A.
        • Stewart D.J.
        • Magee C.J.
        • Javed S.M.
        • Kerrigan D.D.
        Petersen hernia complicating laparoscopic duodenal switch.
        Surg Obes Relat Dis. 2012; 8: 236-238
        • Petrucciani N.
        • Martini F.
        • Kassir R.
        • et al.
        Internal hernia after one anastomosis gastric bypass (OAGB): lessons learned from a retrospective series of 3368 consecutive patients undergoing OAGB with a biliopancreatic limb of 150 cm.
        Obes Surg. 2021; 31: 2537-2544
        • Surve A.
        • Cottam D.
        • Horsley B.
        Internal hernia following primary laparoscopic SADI-S: the first reported case.
        Obes Surg. 2020; 30: 2066-2068
        • Ederveen J.C.
        • van Berckel M.M.
        • Jol S.
        • Nienhuijs S.W.
        • Nederend J.
        Diagnosing internal herniation after laparoscopic Roux-en-Y gastric bypass: usefulness of systematically reviewing CT scans using ten signs.
        Eur Radiol. 2018; 28: 3583-3590
        • Altinoz A.
        • Maasher A.
        • Jouhar F.
        • et al.
        Diagnostic laparoscopy is more accurate than computerized tomography for internal hernia after Roux-en-Y gastric bypass.
        Am J Surg. 2020; 220: 214-216
        • Nimeri A.A.
        • Maasher A.
        • Al Shaban T.
        • Salim E.
        • Gamaleldin M.M.
        Internal hernia following laparoscopic Roux-en-Y gastric bypass: prevention and tips for intra-operative management.
        Obes Surg. 2016; 26: 2255-2256
        • Vannevel V.
        • Jans G.
        • Bialecka M.
        • Lannoo M.
        • Devlieger R.
        • Van Mieghem T.
        Internal herniation in pregnancy after gastric bypass: a systematic review.
        Obstet Gynecol. 2016; 127: 1013-1020
        • Simper S.C.
        • Erzinger J.M.
        • McKinlay R.D.
        • Smith S.C.
        Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group's experience of 23 cases.
        Surg Obes Relat Dis. 2008; 4: 77-83
        • Varban O.
        • Ardestani A.
        • Azagury D.
        • et al.
        Resection or reduction? The dilemma of managing retrograde intussusception after Roux-en-Y gastric bypass.
        Surg Obes Relat Dis. 2013; 9: 725-730
        • Oor J.E.
        • Goense L.
        • Wiezer M.J.
        • Derksen W.J.M.
        Incidence and treatment of intussusception following Roux-en-Y gastric bypass: a systematic review and meta-analysis.
        Surg Obes Relat Dis. 2021; 17: 1017-1028
        • Stephenson D.
        • Moon R.C.
        • Teixeira A.F.
        • Jawad M.A.
        Intussusception after Roux-en-Y gastric bypass.
        Surg Obes Relat Dis. 2014; 10: 666-670
        • Altieri M.S.
        • Yang J.
        • Telem D.A.
        • et al.
        Lap band outcomes from 19,221 patients across centers and over a decade within the state of New York.
        Surg Endosc. 2016; 30: 1725-1732
        • Ibrahim A.M.
        • Thumma J.R.
        • Dimick J.B.
        Reoperation and Medicare expenditures after laparoscopic gastric band surgery.
        JAMA Surg. 2017; 152 (853–42)
        • Belachew M.
        • Belva P.H.
        • Desaive C.
        Long-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity.
        Obes Surg. 2002; 12: 564-568
        • Eid I.
        • Birch D.W.
        • Sharma A.M.
        • Sherman V.
        • Karmali S.
        Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide.
        Can J Surg. 2011; 54: 61-66
        • Weiner R.
        • Bockhorn H.
        • Rosenthal R.
        • Wagner D.
        A prospective randomized trial of different laparoscopic gastric banding techniques for morbid obesity.
        Surg Endo. 2001; 15: 63-68
        • Manganiello M.
        • Sarker S.
        • Tempel M.
        • Shayani V.
        Management of slipped adjustable gastric bands.
        Surg Obes Relat Dis. 2008; 4: 534-538
        • Chisholm J.
        • Kitan N.
        • Toouli J.
        • Kow L.
        Gastric band erosion in 63 cases: endoscopic removal and rebanding evaluated.
        Obes Surg. 2011; 21: 1676-1681
        • Regusci L.
        • Groebli Y.
        • Meyer J.L.
        • Walder J.
        • Margalith D.
        • Schneider R.
        Gastroscopic removal of an adjustable gastric band after partial intragastric migration.
        Obes Surg. 2003; 13: 281-284
        • Abu-Abeid S.
        • Szold A.
        Laparoscopic management of Lap-Band erosion.
        Obes Surg. 2001; 11: 87-89
        • Rodarte-Shade M.
        • Torres Barrera G.
        • Flores Arredondo J.S.
        • Rumbaut Diaz R.
        Hybrid technique for removal of eroded adjustable gastric band.
        JSLS. 2013; 17: 338-341
        • Ayoub F.
        • Brar T.S.
        • Banerjee D.
        • et al.
        Laparoscopy-assisted versus enteroscopy-assisted endoscopic retrograde cholangiopancreatography (ERCP) in Roux-en-Y gastric bypass: a meta-analysis.
        Endosc Int Open. 2020; 8: E423-E436
        • Schreiner M.A.
        • Chang L.
        • Gluck M.
        • et al.
        Laparoscopy-assisted versus balloon enteroscopy-assisted ERCP in bariatric post-Roux-en-Y gastric bypass patients.
        Gastrointest Endosc. 2012; 75: 748-756
        • Papasavas P.
        • Docimo Jr., S.
        • Oviedo R.J.
        • Eisenberg D.
        American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. Biliopancreatic access following anatomy-altering bariatric surgery: a literature review.
        Surg Obes Relat Dis. 2022; 18: 21-34
        • Parikh M.
        • Adelsheimer A.
        • Somoza E.
        • et al.
        Factor VIII elevation may contribute to portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy: a multicenter review of 40 patients.
        Surg Obes Relat Dis. 2017; 13: 1835-1839
        • Rosenberg J.M.
        • Tedesco M.
        • Yao D.C.
        • Eisenberg D.
        Portal vein thrombosis following laparoscopic sleeve gastrectomy for morbid obesity.
        JSLS. 2012; 16: 639-643
        • Gagner M.
        Portomesenteric vein thrombosis after sleeve gastrectomy is a known entity: what can we do about it?.
        Surg Obes Relat Dis. 2017; 13: 1431-1433
        • Mahan L.
        • Escott-Stump S.
        • Raymond J.
        Krause’s food and the nutrition care process.
        13th ed. Elsevier Saunders, St. Louis2012
        • Hassan E.
        • Ali Mekki E.
        • Wafic W.
        • Karim M.
        GLT2 inhibition may precipitate euglycemic DKA after bariatric surgery.
        Clin Diabetes Res. 2018; 2: 40-42
        • Aminian A.
        • Kashyap S.R.
        • Burguera B.
        • et al.
        Incidence and clinical features of diabetic ketoacidosis after bariatric and metabolic surgery: Table 1.
        Diabetes Care. 2016; 39: e50-e53
        • Handelsman Y.
        • Henry R.R.
        • Bloomgarden Z.T.
        • et al.
        American Association of Clinical Endocrinologists and American College of Endocrinology position statement on the Association of SGLT-2 Inhibitors and Diabetic Ketoacidosis.
        Endocr Pract. 2016; 22: 753-762