ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Session 8 - Video Based Lecture 2

Session 8 - Video Based Lecture 2 - Post Bariatric Surgical Complications

Video Transcription

Video Summary

The video discusses different types of bariatric surgeries, including sleeve gastrectomy, gastric bypass, and long-limb bypass. It highlights the complications that can occur after these surgeries, such as anastomotic ulcers, stenoses, leaks, and weight regain. Ulcers can occur in up to 20% of patients and can be caused by various factors, including acid production in the pouch, fistula between the pouch and remnant stomach, NSAIDs, H. pylori infection, foreign body reaction, or microvascular ischemia. Treatment for ulcers involves the use of soluble proton pump inhibitors (PPIs) and the removal of contributory factors. Stenoses can be treated with balloon dilation, while chronic stenosis may require the removal of sutures or bands. Leaks and fistulas can be categorized based on their location and severity, and treatment options include covering the leaks with stents, ligation with clips, or draining with pigtails or vacuum therapy. Finally, the video discusses weight regain after bariatric surgery and the use of endoscopic therapy, such as the OverStitch device, to achieve weight loss.

Asset Subtitle

Christopher C. Thompson, MD, MHES, MSc, FASGE

Keywords

bariatric surgeries

complications

ulcers

stenoses

weight regain