Complications of Bariatric Surgery

A Comprehensive Guide to the Literature for Personal Injury Lawyers

Publisher: Medifocus Legal
Publication Date: March 18, 2021
Number of Pages: 141
Bariatric surgery encompasses a collective group of surgical procedures that involve altering the digestive tract in order to promote weight loss. In general, bariatric surgery is considered for people who are extremely obese, with a body mass index (BMI) of 40 or higher. People with a BMI of 35 to 39.9 may also be eligible for bariatric surgery if they also have serious weight-related comorbid conditions such as type 2 diabetes, hypertension, or sleep apnea syndrome. Typically, patients who are considering bariatric surgery as a weight los option will have to undergo an extensive screening process and also meet specific guidelines to qualify for bariatric surgery. According to the American Society for Metabolic and Bariatric surgery, the total number of metabolic and bariatric surgeries performed in the United States in 2018 was 252,000.

In general, there are 3 types of bariatric surgical procedures that have evolved over the past 3 decades:

1. Blocking procedures, such as biliopancreatic diversion, that aim to block the absorption of food from the stomach.

2. Restrictive procedures, such as sleeve gastrectomy, that shrink the size of the stomach so that the patient feels more satiated while eating less amounts of food.

3. Mixed procedures, the most common of which is Roux-en-Y gastric bypass, that employ a combination of both blocking and restrictive strategies simultaneously.

Weight loss surgery is one of the fastest growing segments of all surgical procedures. Although bariatric procedures are generally considered safe and effective, they can be associated with serious complications, some of which can be fatal if not recognized quickly. The most dreaded complication is an anastomotic leak which is associated with a significant increase in both morbidity and mortality. In fact, a study conducted in 2017 of 140 medicolegal claims in bariatric surgery found that the most common reason for a malpractice claim was a delay in diagnosis or treatment of a complication in the postoperative period, the most common of which was an anastomotic leak. Death was reported in 52% of these cases. Nearly 50% of the cases were decided in favor of the patient, with a median award payout of $1,090,000.

In addition to anastomotic leaks, patients who undergo bariatric surgery can develop a variety of other early or late postoperative complications. Bariatric surgeons must be vigilant to identify these complications as soon as possible and manage these potentially life-threatening complications promptly.

The MediFocus Literature Guide to Complications of Bariatric Surgery captures the clinically relevant articles published over the past 10-years in peer-reviewed medical journals and focuses on the risk factors, diagnosis, management, and prevention of these potentially serious and life-threatening complications. This unique Literature Guide consists of over 180 hand-picked articles with links to the Abstracts and includes online access to the FREE FULL-TEXT version of 88 articles. The Guide also includes a valuable Author Directory for quickly identifying and locating medical authorities for case evaluation and expert testimony.
Complications of Bariatric Surgery is a one-of-a-kind literature reference Guide that includes:

• A comprehensive bibliography of 185 journal article references indexed in MEDLINE published in well respected medical and scientific journals.
• Online access to the abstracts (summaries) of the articles.
• Online access to the free full-text version of 88 articles.
• Links to full-text sources of other articles that are available for purchase directly from individual journal publishers.
• A unique "Author Directory" consisting of the names and institutional affiliations of experts who have published and have specialized knowledge about Complications of Bariatric Surgery. The "Author Directory" is a valuable resource for quickly identifying and locating experts for case reviews, opinions, and testimony.

Select examples of topics that are covered by the articles referenced in this Guidebook include:

• Medical Malpractice in Bariatric Surgery: a Review of 140 Medicolegal Claims.
• Management and Prevention of Surgical and Nutritional Complications After Bariatric Surgery.
• Rate of Death and Complications in Laparoscopic and Open Roux-en-Y Gastric Bypass.
• Medico-legal analysis of legal complaints in bariatric surgery: a 15-year retrospective study.
• Complications of bariatric surgery--What the general surgeon needs to know.
• American Society of Metabolic and Bariatric Surgery patient safety committee policy statement on the qualifications of expert witnesses in bariatric surgery medicolegal matters.
• Bariatric surgery claims - a medico-legal perspective.
• Bariatric surgery: malpractice risks and risk management guidelines.
• Benefits and Risks of Bariatric Surgery in Adults: A Review.
• Lymphatic leakage after laparoscopic sleeve gastrectomy; presentation, management and review of the literature.
• Association of Maternal Gastric Bypass Surgery With Offspring Birth Defects.
• Obesity Surgery and Anesthesiology Risks: a Review of Key Concepts and Related Physiology.
• 30-Day Outcomes After Intraoperative Leak Testing for Bariatric Surgery Patients.
• A 23-year study of mortality and development of co-morbidities in patients with obesity undergoing bariatric surgery (laparoscopic gastric banding) in comparison with medical treatment of obesity.
• Late postoperative bleeding after Roux-en-Y gastric bypass: management and review of literature.
• Hypoglycemia After Gastric Bypass Surgery: Current Concepts and Controversies.
• American Society for Metabolic and Bariatric Surgery review of the literature on oneanastomosis gastric bypass.
• Preventing Wernicke Encephalopathy After Bariatric Surgery.
• Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities.
• Endoscopic Evaluation and Treatment of Postoperative Bariatric Surgery Complications.

The MediFocus Literature Guide on Complications of Bariatric Surgery is available in two formats:
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