Monday, August 15, 2011

Leaks after Bariatric Surgery May Be Better Predicted and Managed

Bariatric surgery is becoming more common today. According to HealthGrades, “because of … favorable outcomes, the number of bariatric surgeries has continued to steadily increase in recent years.” The FDA has lowered the BMI guidelines for lap band surgery, therefore, bariatric surgery will likely become more common in years to come. And complications will likely continue to be associated with all forms of bariatric surgery.

However, some types of the surgery give rise to more serious complications than others. For example, a higher rate of severe complications results from gastric bypass surgery, where the small intestine is rerouted, than from gastric band surgery. To accomplish the rerouting, the small intestine is re-attached. And this re-attaching can lead to postsurgical leaks. However, because the leaks can be serious, new research may benefit the patient who has to deal with these leaks.

A study referenced in a recent report entitled “Management of postsurgical leaks in the bariatric patient,” concluded that “endoscopically placed covered esophageal stents,” that were ‘used to exclude the leak site,' allowed oral nutrition and speeded up healing. Managing these leaks is important, since as the report states, these postsurgical leaks, attributable to surgical technique, and other factors, can lead to major comordities and mortality.

Another study entitled, "Understanding the significance, reasons and patterns of abnormal vital signs after gastric bypass for morbid obesity,” found that “sustained tachycardia [a faster than normal heart rate] with a heart rate exceeding 120 bpm appears to be an indicator of anastomotic leak.”

The two above-mentioned studies show how research is leading to procedures that can allow bariatric surgical providers to better manage and anticipate leaks that might occur after bariatric surgery. The procedures that can grow out of these studies could help reduce bariatric surgical morbidity and mortality. These procedures would benefit both the patient and the bariatric surgical team.

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Comments:

Anonymous Zoya said...

A common misconception is that, after surgery, you will be able to eat as much as you want of whatever you want, and still lose weight, and that you will eventually look like you did in high school, or before having your first child. The size of your stomach has just been greatly reduced, so the quantity of food you can eat at any one time is also greatly reduced. You may be able to reach your high school or pre-child weight, but Mother Nature has ways of letting you know that those days are gone forever. List of hospitals in Thailand for Bariatric Surgery

October 1, 2011 at 3:33 AM  
Anonymous Harry said...

Thanks for this post!! Hospitals offering Bariatric Surgery in Germany

December 8, 2011 at 10:24 AM  

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