Abstract
BackgroundBariatric surgery is performed to control morbid obesity secondary to failed medical approaches. Practical knowledge of post-surgical anatomy allows accurate interpretation of imaging findings related to normal post-surgical anatomy and common post-surgical complications.The purpose of this study was to highlight the role of imaging in the assessment and detection of complications after bariatric surgery.ResultsThis prospective study included 49 patients who had bariatric surgery. Sleeve gastrectomy was the most common bariatric surgery. The leak was the commonest complication (12%). The sensitivity of upper GI series for diagnosis of post-operative complication after bariatric surgery was 70% and specificity 94% while the sensitivity of CT study was 95% and specificity 95%.ConclusionCT has a golden role in the diagnosis of post-operative complications. Both post-contrast CT and upper GI series should be used in diagnosing complications following bariatric surgery. US is useful for diagnosis of a superficial problem.
Highlights
Bariatric surgery is performed to control morbid obesity secondary to failed medical approaches
Obesity is measured by body mass index (BMI), a value based on a combination of weight and height (BMI = weight [kilograms]/height [meters]2) [2]
The early complications are as follows: 7 patients (14%) complained from persistent vomiting, but with normal pelvic-abdominal US scanning and upper GI series and they improved later on metoclopromides; 1 patient (2%) complained of dyspnea and tachypnea, and chest X-ray showed minimal pleural effusion and was diagnosed by contrast Computed tomography (CT) chest study as pulmonary embolism; this patient was admitted to coronary care unit and improved
Summary
Bariatric surgery is performed to control morbid obesity secondary to failed medical approaches. Practical knowledge of post-surgical anatomy allows accurate interpretation of imaging findings related to normal post-surgical anatomy and common post-surgical complications. Obesity is associated with many different illnesses, chief among them are the type 2 diabetes mellitus, high blood pressure, gallstones, certain types of cancer, fatty liver, and psychiatric disease. It lowers life expectancy by 5 to 20 years [1]. Bariatric surgery is increasingly performed to control morbid obesity secondary to failed medical approaches. Practical knowledge of postsurgical anatomy allows accurate interpretation of imaging
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