Emergency surgical conditions after biliopancreatic diversion

Urgent late complications of biliopancreatic diversion (BPD) are rare and often require the experience of a bariatric surgery team for their immediate resolution. The present work analyzes the incidence of emergency surgical conditions in a group of 138 patients who had undergone classical BPD, with...

Full description

Saved in:
Bibliographic Details
Published in:Obesity surgery 2007-05, Vol.17 (5), p.637-641
Main Authors: Cossu, Maria Laura, Meloni, Giovanni Battista, Alagna, Sergio, Tilocca, Pier Luigi, Pilo, Luca, Profili, Stefano, Noya, Giuseppe
Format: Article
Language:English
Subjects:
Biliopancreatic Diversion - adverse effects
Biliopancreatic Diversion - mortality
Body Mass Index
Emergencies - epidemiology
Female
Follow-Up Studies
Gastrointestinal surgery
Humans
Male
Morbidity
Obesity
Obesity, Morbid - complications
Obesity, Morbid - surgery
Postoperative Complications - epidemiology
Retrospective Studies
Surgical outcomes
Time Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Urgent late complications of biliopancreatic diversion (BPD) are rare and often require the experience of a bariatric surgery team for their immediate resolution. The present work analyzes the incidence of emergency surgical conditions in a group of 138 patients who had undergone classical BPD, with a mean follow-up of 60 months (24-96) after BPD. Urgent surgical intervention was necessary in 9 patients out of 138 (6.5%): 7 (5%) were for intestinal obstruction (4 of the biliopancreatic limb and 3 of the alimentary tract); 2 (1.4%) were for stomal ulcer with complications (1 massive hemorrhage and 1 perforation). These complications of BPD are common to all GI operations, and thus are not specific to the type of surgery. We emphasize the importance of early diagnosis and treatment, particularly in regard to intestinal obstruction, because delay could have dramatic consequences.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-007-9107-1