Complications of bariatric surgery: presentation and emergency management--a review

Ann R Coll Surg Engl. 2009 May;91(4):280-6. doi: 10.1308/003588409X392072. Epub 2009 Apr 2.

Abstract

Introduction: The prevalence of obesity surgery is increasing rapidly in the UK as demand rises. Consequently, general surgeons on-call may be faced with the complications of such surgery and need to have an understanding about how to manage them, at least initially. Obesity surgery is mainly offered in tertiary centres but patients may present with problems to their local district hospital. This review summarises the main complications that may be encountered.

Materials and methods: A full literature search was carried out looking at articles published in the last 10 years. Keywords for search purposes included bariatric, surgery, complications, emergency and management.

Conclusions: Complications of bariatric surgery have been extensively written about but never in a format that is designed to aid the on-call surgeon. The intricate details and rare complications have been excluded to concentrate on those symptoms and signs that are likely to be encountered by the emergency team.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery / adverse effects*
  • Deglutition Disorders / etiology
  • Deglutition Disorders / therapy
  • Emergencies
  • Equipment Failure
  • Gallstones / etiology
  • Gallstones / therapy
  • Gastroesophageal Reflux / etiology
  • Gastroesophageal Reflux / therapy
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy
  • Hernia / etiology
  • Hernia / therapy
  • Humans
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / therapy
  • Surgical Wound Dehiscence / etiology
  • Surgical Wound Dehiscence / therapy