Gastrointestinal hemorrhage after laparoscopic gastric bypass

Obes Surg. Nov-Dec 2004;14(10):1308-12. doi: 10.1381/0960892042583879.

Abstract

Gastrointestinal hemorrhage is a potential perioperative complication after Roux-en-Y gastric bypass. The surgeon performing laparoscopic gastric bypass should understand the need for early recognition and management of this complication, as it can be life-threatening. This paper discusses the incidence and clinical presentation of gastrointestinal hemorrhage, mechanisms for hemorrhage, management options, and possible methods of prevention.

MeSH terms

  • Adult
  • Anastomosis, Roux-en-Y / adverse effects
  • Anastomosis, Roux-en-Y / methods
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Gastric Bypass / adverse effects*
  • Gastric Bypass / methods
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery*
  • Gastroscopy / methods
  • Humans
  • Intraoperative Complications / prevention & control*
  • Laparoscopy / adverse effects*
  • Laparoscopy / methods
  • Male
  • Middle Aged
  • Obesity, Morbid / diagnosis
  • Obesity, Morbid / surgery*
  • Postoperative Hemorrhage / etiology
  • Postoperative Hemorrhage / surgery
  • Reoperation
  • Risk Assessment
  • Severity of Illness Index
  • Suture Techniques
  • Treatment Outcome