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Endoscopy
Curriculum based clinical review
Bariatric surgery and the endoscopist
  1. Laura Temperley1,
  2. Andrew Sullivan2,
  3. Aruchuna Ruban3
  1. 1 Clinical Fellow, Hepatology, King's College Hospital, London, UK
  2. 2 Clinical Fellow, Cardiology, Barts Health NHS Trust, London, UK
  3. 3 Consultant Gastroenterologist, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Dr Laura Temperley, King's College Hospital, London SE5 9RS, UK; laura.temperley{at}nhs.net

Abstract

Bariatric surgery is an effective treatment for obesity and its metabolic related disorders. With the numbers of bariatric procedures being performed rising annually endoscopists are now more likely than ever to encounter this patient cohort on routine diagnostic lists. Endoscopy plays a vital role in both the pre and postoperative periods to diagnose and treat certain complications associated with bariatric surgery. Preoperative endoscopy may be useful in identifying pathologies that then influence the type of bariatric surgery being proposed. Postoperative endoscopy has an established role in identifying and managing complications such as anastomotic leaks and gastrointestinal bleeding. As endoscopic techniques develop, these complications may be managed without the need for surgical intervention or revision. Increased knowledge and awareness of the indications for endoscopy, together with the altered anatomy and common complications of bariatric surgery, is paramount in managing these patients effectively.

  • diagnostic and therapeutic endoscopy
  • endoscopy
  • obesity surgery
  • obesity
  • surgical complications

https://doi.org/10.1136/flgastro-2020-101681

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    Footnotes

    • Correction notice This article has been corrected since it published Online First. A typographical error in the second sentence has been corrected.

    • Contributors LT performed the literature review, wrote and edited the manuscript and is responsible for the overall content of the manuscript. AS performed the literature review, wrote and edited the manuscript and and constructed the best of five questions. AR came up with the concept for the review article and was the senior author who reviewed the manuscript before submission and is responsible for the overall content of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.