Phase One Complications One to Six Weeks

Complications following surgery are often managed by the surgeons involved. As shown in Table 8.1, postoperative complications include postoperative bleeding, staple-line leak, bowel perforation, bowel obstruction, severe wound infections, minor wound infections, pulmonary embolism, perioperative myocardial infarction (MI), pneumonia, and urinary-tract infection.

The most disastrous complication associated with RYGB, a staple-line leak at the gastrojejunal anastomosis, has a reported incidence of 4.6%.7 Table 8.2 lists its clinical features. In approximately one-third of leaks, the patient requires reexploration and is taken back to the operating room. Every patient should be aware of the potential of this serious complication prior to undergoing bariatric surgery.

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Virtual Gastric Banding

Virtual Gastric Banding

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