Endoscopic management of bariatric complications

Abstract

Bariatric metabolic surgery is a frequently performed elective procedure within general surgery. Over the last decade the sleeve gastrectomy has become the most common bariatric procedure globally, followed by the Roux-en-Y gastric bypass, making up the two most common operations. These procedures are considered safe and have low rates of morbidity and mortality. Postoperative complications include staple line/anastomotic leaks, bleeds, strictures and ulceration. Revisional laparoscopic or open surgery can be challenging. Endoscopy can play an important role in both the diagnosis and therapeutic management of these complications. Recent advancements in endoscopic techniques have expanded the range of available treatment options. It is imperative for healthcare professionals working in non-specialized bariatric settings to collaborate with specialized units for guidance and management when faced with these complications.