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Endoscopic Management of Complications: Bleeding, Leaks, and Strictures 

Endoscopic Management of Complications: Bleeding, Leaks, and Strictures
Endoscopic Management of Complications: Bleeding, Leaks, and Strictures

A. Daniel Guerron

, John H. Rodriguez

, and Matthew Kroh

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date: 09 December 2021

Bariatric surgery has been proven to be safe and durable for treatment of obesity and obesity-related diseases. Although complication rates continue to decrease, complications occur and may impart significant morbidity. Treatment of complications often includes combinations of medical therapies and surgical or endoscopic interventions. Endoscopic techniques to treat complications of bariatric surgery have evolved, with improved tools and devices, as well as increased experience and expertise. Methods of dilation, hemostasis, suturing, clip placement, stenting, and feeding tube placement have given practitioners less-invasive ways to treat complications and also to provide durable enteral access. In patients with high reoperative complexity, endoscopic access may circumvent the abnormal pathology, with a less-invasive route. This chapter focuses on endoluminal management of common complications of bariatric surgery, including techniques employed and outcomes.

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