Early Routine Upper Gastrointestinal Contrast Study Following Bariatric Surgery: an Indispensable Postoperative Care or a Medicolegal Heritage?
Adult
Aged
Bariatric Surgery
/ rehabilitation
Constriction, Pathologic
/ diagnosis
Contrast Media
/ therapeutic use
Diagnostic Techniques, Digestive System
Diagnostic Tests, Routine
Early Diagnosis
Female
Humans
Jurisprudence
Laparoscopy
/ methods
Male
Medical Futility
/ legislation & jurisprudence
Middle Aged
Obesity, Morbid
/ diagnosis
Postoperative Care
/ legislation & jurisprudence
Postoperative Complications
/ diagnosis
Predictive Value of Tests
Retrospective Studies
Treatment Outcome
Upper Gastrointestinal Tract
/ diagnostic imaging
Young Adult
Bariatric surgery
Complications
Leakage
Medicolegal issue
Personalized medicine
Stenosis
Upper gastrointestinal contrast study
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
pubmed:
5
4
2019
medline:
15
4
2020
entrez:
5
4
2019
Statut:
ppublish
Résumé
Concerns still exist regarding the role of early routine upper gastrointestinal contrast study (UGI) after bariatric procedures for detection of early complications. We reviewed our database to identify patients who underwent laparoscopic primary or redo surgery (previously placement of adjustable gastric banding), between January 2012 and December 2017. All the patients underwent UGI within 48 h after surgery. Among 1094 patients, early UGI was abnormal in 5 patients: in 4 cases a leak (one false positive) and in one case stenosis (one true positive) were suspected. In this clinical setting, five leaks were observed and required surgical re-exploration: 3 correctly identified and 2 not detected at UGI. Overall, 3 patients developed anastomotic stenosis. Our data suggest that early routine UGI after bariatric procedures has limited utility.
Identifiants
pubmed: 30945153
doi: 10.1007/s11695-019-03850-3
pii: 10.1007/s11695-019-03850-3
doi:
Substances chimiques
Contrast Media
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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