Manejo endoscópico de las complicaciones de la cirugía bariátrica

  1. C. Rodríguez-Ramos 1
  2. P. Guillén-Mariscal 2
  3. A. Abraldes-Bechiarelli 1
  4. M. Á. Mayo-Ossorio 2
  5. E. Aycart-Valdés 3
  6. J. M. Pacheco-García 2
  1. 1 Hospital Universitario Puerta del Mar. Cádiz. - Hospital QuirónSalud Campo de Gibraltar. Los Barrios. Cádiz.
  2. 2 Hospital Universitario Puerta del Mar. Cádiz.
  3. 3 Hospital QuirónSalud Campo de Gibraltar. Los Barrios. Cádiz.
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Journal:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Year of publication: 2019

Volume: 30

Issue: 4

Pages: 501-509

Type: Article

DOI: 10.37351/2019304.11 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Cirugía Andaluza

Abstract

The prevalence of obesity has rapidly increased worldwide in last years. Bariatric surgery is considered the first-line treatment for morbid obesity, so the number of bariatric procedures performed have been steadily rising every year. Despite improvement in the surgical performance, complications are not uncommon and can be life-threatening. Optimal management strategies are not completely defined and a growing number of articles on this topic has been published in last years. Diagnostic and therapeutic endoscopy plays a pivotal role in the proper management of these complications but is technically difficult. A basic knowledge of surgical anatomy and understanding of pathophysiology of these specific complications are essential for endoscopist. It is also very advisable that endoscopist has an extensive and broad experience in different endoscopic tools and techniques, such as plastic and metallic stents deployment, clipping and glue injection, dilation with balloons or suturing techniques. Moreover, a close cooperation between bariatric surgeons and endoscopists is the mainstay for a successful management strategy of these complications because a combined approach and individualized treatment is necessary in most cases. In this article, we review the current status and foreseen innovations in endoscopic management of most common post-bariatric complications, with a special focus on endoscopic internal drainage as paradigm shift in the treatment for leaks and fistulas, the management of the acute leak in stable patients with covered self-expandable metallic stents and the treatment of sleeve strictures with achalasia dilation balloons.

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Data source: Dialnet