Endoscopic treatment of complications after bariatric surgery – overview of issues and retrospective analysis of our own results

Česká verzia

Authors: V. Nosek ¹; M. Řehoř ¹; J. Pintová ¹; M. Man ²; M. Vraný ²; R. Procházka ¹
Authors place of work: Oddělení gastroenterologie, Nemocnice Jablonec, nad Nisou p. o. ¹; Chirurgické oddělení, Nemocnice Jablonec, nad Nisou p. o. ²
Published in the journal: Rozhl. Chir., 2024, roč. 103, č. 9, s. 336-345.
Category: Review
doi: https://doi.org/10.48095/ccrvch2024336

Summary

Bariatric and metabolic surgery is the most invasive but also the most effective treatment for severe obesity and associated comorbidities. The most common procedures performed are laparoscopic sleeve gastrectomy and Roux-Y gastric bypass. Postoperative complications occur in 4–10% cases. The majority of them are mild and are treated conservatively. Complex management of severe complications often involves surgical re-intervention, which is associated with high morbidity. Technological advancements in therapeutic endoscopy expand the options for minimally invasive treatment of these complications and, in selected cases, may even be the method of choice in their management. The authors present a summary of current endoscopic procedures for managing ulcerations, leaks, fistulas, strictures, and other complications. Based on a cohort of 45 patients treated over a period of 10 years (11/2013–11/2023) at the district hospital in Jablonec nad Nisou, an overview of the endoscopic methods used, procedure numbers, duration, and outcomes of endoscopic treatment is provided. The author’s commentary describes trends leading to further improvement in the outcomes of endoscopic treatment.

Keywords:

endoscopy – bariatric surgery – bariatric complications – minimally invasive

Zdroje

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MUDr. Vladimír Nosek

Oddělení gastroenterologie

Nemocnice Jablonec nad Nisou p.o.

Nemocniční 4446/15

466 01 Jablonec nad Nisou

nosek@nemjbc.cz