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Bariatric surgery and the endoscopist.
Laura Temperley1, Andrew Sullivan2, Aruchuna Ruban3
1Clinical Fellow, Hepatology, King's College Hospital, London, UK.
Frontline Gastroenterology
|December 17, 2021
Summary
Endoscopy is crucial for managing bariatric surgery patients, aiding in preoperative diagnosis and postoperative complication management. Advanced endoscopic techniques offer non-surgical treatment options for complications after obesity surgery.
Area of Science:
- Gastroenterology and Surgery
- Obesity Medicine
Background:
- Bariatric surgery is a key treatment for obesity and related metabolic disorders.
- The increasing number of bariatric procedures means endoscopists frequently encounter these patients.
- Endoscopy is essential for pre- and postoperative care in bariatric surgery.
Purpose of the Study:
- To highlight the role of endoscopy in bariatric surgery.
- To discuss the indications for endoscopy in pre- and postoperative periods.
- To emphasize the importance of understanding altered anatomy and complications.
Main Methods:
- Review of current endoscopic practices in bariatric surgery.
- Analysis of indications for preoperative and postoperative endoscopy.
- Discussion of endoscopic management of common complications.
Main Results:
- Preoperative endoscopy can identify pathologies influencing surgical approach.
- Postoperative endoscopy is vital for diagnosing and managing complications like leaks and bleeding.
- Evolving endoscopic techniques enable non-surgical management of some complications.
Conclusions:
- Endoscopy plays a critical role throughout the bariatric surgery patient journey.
- Knowledge of indications, anatomy, and complications is key for effective patient management.
- Advancements in endoscopy are expanding non-surgical treatment possibilities.
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