The risks and side effects vary according to the bariatric procedure. The following list is not exhaustive, but briefly describes the risks of gastric bypass, adjustable laparoscopic gastric band and gastric sleeve.
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GASTRIC BYPASS HAZARDS:
• Break
• Abandonment syndrome
• Gallstones (the risk increases with rapid or substantial weight loss)
• Hernia
• Internal bleeding or profuse bleeding from the surgical wound
• Leakage
• Perforation of the stomach or intestines
• Bag / anastomotic obstruction or intestinal obstruction
• Protein or heat malnutrition
• Pulmonary and / or cardiac problems
• Separation of the skin
• Spleen or other organ injury
• Stomach or intestinal ulceration
• Constriction
• Deficiency of vitamins or iron
RISKS OF THE LAPAROSCOPIC ADJUSTABLE GASTRIC BAND:
• Slippage of bands, erosion, deflation
• Break
• Hernia
• Port malposition
• Separation of the skin
COMPLICATIONS
Bariatric surgery is not free of risks and complications. The main complications related to the intervention are those derived from infections, hemorrhages and fistulas (leaks) of the sutures that are made during the intervention. The risk of complications ranges from one surgery to another and ranges between 3 and 6%.
Side effects may occur that vary from one surgery to another. The most important are: nausea, vomiting, abdominal pain and alterations of the intestinal rhythm, among Fake Oakleys others. In the medium and long term, the side effects that can be observed are: vitamin deficits, deficiency of elements such as iron, calcium or others. Is there also a risk of weight regan??. In people with greater weight loss can be aesthetic sequelae.
GASTRIC BAND
GLIDE:
it refers to the sliding of the gastric wall below the band. This leads to the initial reservoir replicates oakleys increase in size. It can be presented at any time after the placement, even after some years. It must be suspected if the patient presents vomiting, epigastric pain, worsening of the symptoms of gastroesophageal reflux and, in certain cases, intolerance to food. the treatment goes from loosening the band to something definitive like removing it by surgery.
FILTRATION:
It can be presented in the reservoir of the band or in the port. It manifests because the patient does not follow the treatment properly and has eaten something that is restricted. His treatment goes from replacing the port, if the damage is local, until changing or removing the band.
EROSION:
is one of the most feared complications in Cheap NFL Jerseys the gastric band patient; Its incidence is described between 1% to 4%. The symptoms are variable and some asymptomatic, Vomiting, hematemesis and epigastric pain are frequent manifestations. An endoscopy is required for its verification. Its management could be by endoscopic route if the band is inside the stomach in more than 30%. If not, surgery is required for its definitive removal.
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GASTRIC SLEEVE
STENOSIS:
Although it can present early in the postoperative period, it is also a dreaded complication months after the procedure. There is a decrease in some area of the gastric tube that leads to serious difficulties in the feeding of the patient. Some series report their presentation in up to 4% of operated patients. The initial treatment is medical, with endoscopic balloon dilation and depending on the response and the length of the narrowing may require surgical management.
GASTRIC FISTULAS:
generally described as an early complication or several weeks or even months after surgery. Depending on the commitment of the patient, it can become difficult to manage. It is treated with directed puncture and drainage, endoscopic placement of prosthesis and even surgical management according to the evolution.
DILATION OF THE GASTRIC TUBE:
in increase also due to the popularization of this technique. Its causes are probably associated with an insufficient initial resection technique that produces a gradual increase in the size of the tube accompanied by a weight regain. Your treatment should initially include the reassessment of the patient regarding their habits and ability to face a new process before thinking about the option of a “re-sleeve” surgery or a conversion probably to a gastric bypass.
GASTROESOPHAGEAL REFLUX (GER):
The groups with more experience believe that it is better not to perform a gastric sleeve surgery in patients with symptomatic GER. Although the discussion continues, it is now accepted that it can be done as long as the gastric fundus is released and dried properly and the pillars of the diaphragm are corrected. If present, medical management is always indicated with proton pump inhibitors, prokinetics and strict dietary management. In cases of deterioration of the quality of life, a conversion surgery is probably proposed to a gastric bypass.
NUTRITIONAL DEFICIENCIES:
The fact of resecting almost 80% of the stomach in a gastric sleeve surgery involves a risk of having vitamin deficiencies such as lack of vitamin B12 due to the intrinsic factor defect. In addition, there could be vitamin D deficiency that involves permanent clinical monitoring and vitamin supplementation to prevent them.
INSTESTINAL OBSTRUCTION:
the clinical picture of a patient with episodes of pain and vomiting should be suggest this complication, which in some cases is difficult to diagnose. The closure of the meso defects is recommended as a preventive measure. Once thought, the surgical approach must be performed to avoid a late catastrophe.
FISTULAS OR FILTRACIONS OF THE GASROJEJUNAL JUNCTION:
It is the most feared complication but not so frequent. It is presented within the first few days post-operative, with abdominal pain, fever, intolerance to liquids, change of color in the drainage jerseys or bad smell. The treatment can be conservative (not surgery) when drainage is left or surgical, in both cases you can get to leave a feeding tube until the body finishes healing the wound
ANASTOMOTIC MOUTH ULCERS:
They can also occur late, and as in any acid-peptic disease, the causative factors must be corrected, for example, use of AINE, smoking and alcohol consumption. Its management is medical as much as possible, taking into account that revision surgery would be only apply in situations of recurrence.
