Main postoperative complications of gastric bypass via laparotomy: an integrative literature review
DOI:
https://doi.org/10.33448/rsd-v11i6.29222Keywords:
Gastric bypass; Bariatric surgery; Post operative complications; Laparotomy.Abstract
Introduction: gastric bypass is a procedure that revolutionized the history of bariatric surgery, being the most used today and considered the gold standard in this sense, being considered an excellent treatment to achieve weight loss in an adequate and efficient way. durable, with a high success rate and a low rate of adverse effects and complications. Despite its well-documented safety, several complications can occur with different degrees of morbidity and mortality. Objective: to highlight the main surgical complications of gastric bypass. Methodology: this is an integrative literature review. The selection of studies was carried out in April 2022 through a survey of publications indexed in the Virtual Health Library (BVS), Google Scholar, Scientific Electronic Library Online (SciELO) and National Library of Medicine (PubMed MEDLINE) platforms. . Results and discussion: there are complications and risks related to the performance of such a procedure, such as seroma, incisional hernia, deep dehiscence, hematoma, infection, fistula, nutritional deficiencies and cholelithiasis. There are places with an increased possibility for leakage, such as the gastric pouch stapling line, and there are rational factors with a higher incidence of adverse problems, such as advanced age, presence of several comorbidities, prolonged hospital stay, high BMI and sex. feminine. Conclusion: for future complications to be mitigated, it is up to the surgeon to alert himself to the places most susceptible to complications, to evaluate the individual risks and benefits of each patient, analyzing whether surgery is indicated or not, as well as analyzing the risk factors, using tools such as BASIC and ASA.
References
Acquafresca, P. A. et al. (2015). Complicações cirúrgicas precoces após bypass gástrico: Revisão Da Literatura, ABCD Arq Bras Cir Dig, 28 (18), 74-80.
Aguiar, P. V., et al. (2018). Pacientes submetidos a cirurgias bariátricas: fatores associados a complicações pós-operatórias de sítio cirúrgico. Revista Sobecc, 23 (19), 28-35.
Ahmed, A. R., et al. (2007). Trends in internal hernia incidence after laparoscopic Roux-en-Y gastric bypass. Obes Surg, 17(12), 1563-1566.
Ahmed, A. R., et al. (2009). Roux limb obstruction secondary to constriction at transverse mesocolon rent after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis., 5 (2), 194-198.
Baker, M. T., et al. (2006). Superior mesenteric artery syndrome after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis., 2(6), 667-670.
Bertucci, W., et al. (2005). Antecolic laparoscopic Roux-en-Y gastric bypass is not associated with higher complication rates. Am Surg., 71(9), 735-747.
Coblijn, U. K., et al. (2017). Predicting postoperative complications after bariatric surgery: the Bariatric Surgery Index for Complications, BASIC. Surg Endosc. 31(11), 4438-4445.
Damásio, J. P. F., et al. (2021). Complicações pós-operatórias da cirurgia bariátrica em mulheres em idade fértil. Revista Eletrônica Acervo Saúde, 13 (6), 29-41.
Lee, Y, et al. (2019). Diagnostic Value of C-Reactive Protein Levels in Postoperative Infectious Complications After Bariatric Surgery: A Systematic Review and Meta-Analysis. Obesity Surgery, 8 (6), 1-9.
Lim, C. H, et al. (2018). Correlation Between Symptomatic Gastro-Esophageal Reflux Disease (GERD) and Erosive Esophagitis (EE) Post-vertical Sleeve Gastrectomy (VSG). Obesity Surgery, 34 (8), 67-71.
Lopes, V. S., et al. (2020). Indicações atuais e técnicas cirúrgicas de cirurgia bariátrica. Revista Corpus Hippocraticum, 2 (11), 1-7.
Madan, A. K. et al. (2006). Metabolic syndrome: yet another co-morbidity gastric bypass helps cure. Surg. Obes. Relat. Dis., 2 (8), 48–51.
Mala, T., et al. (2018). Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity. Scandinavian Journal of Surgery, 107(4), 277–284.
Nora, C et al. (2016). Gastrectomia vertical e bypass gástrico no tratamento da síndrome metabólica. Rev. Port. Endocrinol. Diabetes e Metab., 11 (8), 23–29.
Palermo, M. et al. (2015). Complicações Cirúrgicas Tardias Após Bypass Gástrico, ABCD Arq Bras Cir Dig, 28 (2), 139-143.
Ribeiro, R. (2008). Bypass gástrico, Revista Portuguesa de Cirurgia, 2 (4), 45-51.
Rodrigues, R. C. B., et al. (2020). Cirurgia bariátrica por bypass gástrico em Y de Roux: abordagem da técnica e de possíveis complicações tardias no pós-operatório. Revista Eletrônica Acervo Científico, 16 (7), 1-8.
Santos, T. D. (2015). Aspectos clínicos e nutricionais em mulheres obesas durante o primeiro ano após bypass gástrico Em Y-De-Roux. ABCD Arq Bras Cir Dig Artig. Orig., 28 (1), 56-60.
Stoll, A., et al. (2016). Complicações pós-operatórias precoces no by-pass gástrico em Y-de-Roux. Revista Arquivos Brasileiros de Cirurgia Digestiva, 7 (5), 47-58.
Wrzesinski, A., et al. (2015). Complicações que necessitaram de manejo hospitalar no pós-operatório de cirurgia bariátrica. ABCD Arq Bras Cir Dig., 5 (7), 10-18.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Sara Claudino dos Santos; Bárbara Queiroz de Figueiredo; Felipe Alves Soares; Francyele dos Reis Amaral; Júlia Fernandes Nogueira; Vitor Hugo Oliveira; Edson Antonacci Junior
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
