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Ardila-Gatas et al . Mini-invasive Surg 2020;4:16 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.69

Review Open Access

Endoscopic approach for the treatment of bariatric
surgery complications

Jessica Ardila-Gatas, Aurora Pryor

Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical
Center, Stony Brook, New York, NY 11794-8191, USA .

Correspondence to: Dr. Jessica Ardila-Gatas, Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department
of Surgery, Stony Brook University Medical Center, Stony Brook, New York, NY 11794-8191, USA.
E-mail: jessica.ardila-gatas@stonybrookmedicine.edu

How to cite this article: Ardila-Gatas J, Pryor A. Endoscopic approach for the treatment of bariatric surgery complications.
Mini-invasive Surg 2020;4:16. http://dx.doi.org/10.20517/2574-1225.2019.69

Received: 27 Dec 2019 First Decision: 3 Feb 2020 Revised: 4 Feb 2020 Accepted: 7 Feb 2020 Published: 11 Mar 2020
Science Editor: Wah Yang Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang

Abstract
The incidence of bariatric surgery is increasing exponentially. The number of bariatric surgeries performed in the United
States has significantly increased in the past decades. Complications of bariatric surgery can present days to years
postoperatively. Advances in endoscopic procedures and technology has made it possible to address many complications
endoscopically. We describe the most common complications after bariatric surgery and the endoscopic treatment
options available to date.

Keywords: Bariatric surgery, advanced endoscopy, intraluminal surgery

INTRODUCTION
[1]
Obesity is a public health problem . The number of bariatric procedures performed in the United
[1,2]
States has increased significantly in the past decades . Laparoscopic Roux-en-Y gastric bypass (RYGB)
[2,3]
and laparoscopic sleeve gastrectomy (LSG) are the most common bariatric procedures performed .
The overall mortality rate of bariatric surgery is < 0.2%, yet the morbidity rate is between 4% and 10%
with complications presenting most commonly within the first 30 days after surgery [2-4] . Some of the
postoperative complications may be managed intraluminally using advances in surgical and interventional
[2-6]
endoscopy .

[3,7]
Complications can be divided into early (< 30 days) or late (> 30 days) . Some can be encountered after
[3]
any bariatric procedure and others are procedure specific . The cornerstone for the diagnosis of luminal
© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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