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Journal of General Surgery

JGS

Aabstract

Case Report

Operative Treatment for Bariatric Complications: Case Series and Literature Review of Techniques

Ahmed Kandeel, Kareem Abu-Elmagd

Correspondence Address :

Ahmed Kandeel
University of Maryland
Charles Regional Medical Center
USA
Tel: 3049067132
Email: akandeel.ak@gmail.com

Received on: August 16, 2018, Accepted on: August 27, 2018, Published on: September 03, 2018

Citation: Ahmed Kandeel, Kareem Abu-Elmagd (2018). Operative Treatment for Bariatric Complications: Case Series and Literature Review of Techniques

Copyright: 2018 Ahmed Kandeel, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Due to a worldwide increase in obesity, improved safety of gastric bypass, along with the years of data proving effectiveness, have combined to increase the likelihood of surgeons encountering bariatric complications. Moreover, many bariatric patients present to their local emergency department when not feeling well as opposed to contacting their bariatric surgeon. Most bariatric complications can be handled effectively within the normal parameters of routine general surgery practice. However, in some situations maintaining gastrointestinal continuity can become a formidable challenge, especially following a major catastrophic event associated with significant bowel ischemic, perforations at challenging anatomical locations, or formation of difficult fistula's. The most crucial questions to address are: how to safely stabilize the patient with the initial procedure, timing of definitive procedure, and the best method to restore gastrointestinal continuity.
This is a case series of seven patients who presented with various complications secondary to gastric bypass and were successfully treated with restoration of gastrointestinal continuity without any major complication by a single surgical team. In-addition to, a literature review of laparoscopic and open techniques utilized successfully in establishing bowel continuity in bypass patient with various complications. This article illustrates solutions to complex challenging gastric bypass complications to increase the awareness in restoration methods of gastrointestinal continuity with both open and laparoscopic techniques.

Keywords: Gastric Bypass, Petersen Hernia, Roux En Y, Jump Graft, Bariatric Complications

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