Early Routine Upper Gastrointestinal Contrast Study Following Bariatric Surgery: an Indispensable Postoperative Care or a Medicolegal Heritage?

Brunella Barbaro, Maria Gabriella Brizi, Rocco Domenico Alfonso Bellantone, Marco Raffaelli, Francesca Prioli, Piero Giustacchini, Pietro Princi

Research output: Contribution to journalArticle

Abstract

Concerns still exist regarding the role of early routine upper gastrointestinal contrast study (UGI) after bariatric procedures for detection of early complications. We reviewed our database to identify patients who underwent laparoscopic primary or redo surgery (previously placement of adjustable gastric banding), between January 2012 and December 2017. All the patients underwent UGI within 48 h after surgery. Among 1094 patients, early UGI was abnormal in 5 patients: in 4 cases a leak (one false positive) and in one case stenosis (one true positive) were suspected. In this clinical setting, five leaks were observed and required surgical re-exploration: 3 correctly identified and 2 not detected at UGI. Overall, 3 patients developed anastomotic stenosis. Our data suggest that early routine UGI after bariatric procedures has limited utility.
Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalObesity Surgery
DOIs
Publication statusPublished - 2019

Keywords

  • Bariatric surgery
  • Complications
  • Leakage
  • Medicolegal issue
  • Personalized medicine
  • Stenosis
  • Upper gastrointestinal contrast study

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