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Therapeutic endoscopy for the treatment of post-bariatric surgery complications

World Journal of Gastroenterology 2022年第2期28卷 199-215页

作者： Michael Larsen Richard Kozarek Digestive Disease Institute Virginia Mason Medical CenterSeattleWA 98101United States

Obesity rates continue to climb *** often contributes to other comorbidities such as type 2 diabetes,hypertension,heart disease and is a known risk factor for many *** surgeries are by far the most invasive treatment options available but are often the most effective and can result in profound,durable weight loss with improvement in or resolution of weight associated *** performed bariatric surgeries include Rouxen-Y gastric bypass,sleeve gastrectomy,and laparoscopic gastric *** surgeries are associated with significant weight loss,but also with significant rates of major *** complexity of these patients and surgical anatomies makes management of these complications by a multidisciplinary team critical for optimal *** invasive treatments for complications are typically preferred because of the high risk associated with repeat *** plays a large role in both the diagnosis and the management of *** can provide therapeutic interventions for many bariatric surgical complications including anastomotic strictures,anastomotic leaks,choledocholithiasis,sleeve stenosis,weight regain,and eroded *** should be familiar with the various surgical anatomies as well as the various therapeutic options *** review article serves to delineate the current role of endoscopy in the management of complications after bariatric surgery.

关键词： Therapeutic endoscopy Bariatric surgery Complications Weight regain sleeve stenosis sleeve leak

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