Abstract
The surgically altered GI tract provides the GI endoscopist with a challenging array of problems. Few operations are as creative and problematic as those encountered in the patient who has undergone bariatric surgery. Although the overwhelming majority of patients subjected to present-day bariatric procedures achieve dramatic success in terms of both weight reduction and improvement or correction of comorbidities, a minority of patients experience diverse GI symptoms, inadequate weight loss, or a combination of both. These adverse outcomes frequently eventuate a GI consultation. With this is mind, the present review addresses the current epidemic of obesity, its surgical management, and the implications for the GI endoscopist.
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