Interventional procedures effectively treat complications from bypass surgery

May 07, 2003

Obese patients who have complications following gastric bypass surgery may avoid a second, oftentimes risky, surgery if interventional radiology procedures can be performed to treat these complications, a new study shows.

It is not uncommon for morbid obese patients who undergo gastric bypass surgery to have complications, says Jinxing Yu, MD, of the Medical College of Virginia Hospital in Richmond. Leaks, abscesses, dilated excluded stomach, small bowel obstruction, and hernias are a few of the complications that can occur, he says.

From March 1998 to July 2002, 890 patients underwent gastric bypass surgery at the Medical College of Virginia Hospital. "Among them, 35 image-guided procedures were performed in 28 patients. Using CT, fluoroscopy, or ultrasound guidance, needles or catheters were placed into the fluid or air-fluid collections which were associated with leaks, abscesses, or seroma, or into the distended excluded stomach which required decompression," says Dr. Yu. Four of the patients had more than one interventional procedure, he says. All of the patient's symptoms were much relieved by these procedures, he says.

Four of the patients in this group did require additional surgery to correct underlying problems--two with small bowel obstruction, one with recurrent fluid filled and dilated fundus, and one with a leak. The interventional procedures helped ease these patients' symptoms and allowed time for optimization of the patients prior to the second surgery, Dr. Yu adds.

These patients are part of a high-risk population, notes Dr. Yu. The interventional procedures are less invasive and better tolerated than repeat surgery. Each procedure takes about an hour, he says. The hospital stays after interventional procedures are much shorter than what they are for surgery, Dr. Yu notes.

"The morbid obesity of the patients in the study created a unique challenge and did require some alterations in technique," says Dr. Yu. "However, a good understanding of complications following gastric bypass surgery plus careful planning did yield a high success rate," Dr. Yu says.
Dr. Yu will present the study May 7 at the American Roentgen Ray Society Annual Meeting in San Diego.

Contact: Keri J. Sperry (703) 858-4306
Danica Laub (703) 858-4332
Press Room: (619) 525-6536 (May 5-8)

American College of Radiology

Related Gastric Bypass Surgery Articles from Brightsurf:

Strict diet explains metabolic effect of gastric bypass surgery
In many studies, bariatric surgery has been highlighted as an almost magical method for weight loss and reversing type 2 diabetes.

More interventions follow gastric bypass than gastric sleeve, large study shows
A study involving tens of thousands of bariatric surgery patients found that gastric bypass patients were significantly more likely than gastric sleeve patients to end up back in the hospital in the years following surgery.

Comparing future risks associated with gastric bypass and gastric sleeve surgery
Research from the Harvard Pilgrim Health Care Institute finds that gastric bypass is associated with a higher risk of additional operations or other invasive procedures, compared to a gastric sleeve procedure.

Gastric bypass surgery may benefit muscle strength more than previously thought
Gastric bypass surgery improves relative muscle strength and physical performance in people with obesity, according to a study published in the Endocrine Society's Journal of Clinical Endocrinology & Metabolism.

Race plays role in regaining weight after gastric bypass surgery
African Americans and Hispanic Americans who have undergone Roux-en-Y gastric bypass (RYGB) are at greater risk to regain weight as compared to Caucasians.

Gastric bypass surgery associated with greater weight loss in adults
Adults with severe obesity had greater initial and sustained weight loss with gastric bypass surgery than either sleeve gastrectomy or adjustable gastric banding, according to a new study published today in the Annals of Internal Medicine.

Thirty percent increase in risk of fracture after gastric bypass
A study published in the Journal of Bone and Mineral Research shows that the risk of fractures increases by about 30 percent after a gastric bypass operation.

Gastric bypass surgery can give better control for diabetes and obesity than lifestyle modification
Patients treated with a form of bariatric surgery did significantly better than patients provided with an intensive diabetes and weight management program.

Morbid obesity: Gastric bypass and sleeve gastrectomy are comparable
In Switzerland, 5,500 operations to combat morbid obesity are conducted every year.

Coming a step closer to understanding how gastric bypass works
A study by a team of researchers at the Massachusetts General Hospital Center for Engineering in Medicine (MGH-CEM) and Shriners Hospital for Children has made a technological advancement toward accelerating the discovery of drug targets for obesity, type II diabetes and other metabolic diseases.

Read More: Gastric Bypass Surgery News and Gastric Bypass Surgery Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to