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Published in: Obesity Surgery 7/2014

01-07-2014 | Review

Upper Gastrointestinal Series after Roux-en-Y Gastric Bypass for Morbid Obesity: Effectiveness in Leakage Detection. a Systematic Review of the Literature

Authors: Giovanni Quartararo, Enrico Facchiano, Stefano Scaringi, Gadiel Liscia, Marcello Lucchese

Published in: Obesity Surgery | Issue 7/2014

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Abstract

The aim of this study is to evaluate the results of routine and selective postoperative upper gastrointestinal series (UGIS) after Roux-en-Y gastric bypass (RYGB) for morbid obesity in different published series to assessing its utility and cost-effectiveness. A search in PubMed’s MEDLINE was performed for English-spoken articles published from January 2002 to December 2012. Keywords used were upper GI series, RYGB, and obesity. Only cases of anastomotic leaks were considered. A total of 22 studies have been evaluated, 15 recommended a selective use of postoperative UGIS. No differences in leakage detection or in clinical benefit between routine and selective approaches were found. Tachycardia and respiratory distress represent the best criteria to perform UGIS for early diagnosis of anastomotic leak after a RYGB.
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Metadata
Title
Upper Gastrointestinal Series after Roux-en-Y Gastric Bypass for Morbid Obesity: Effectiveness in Leakage Detection. a Systematic Review of the Literature
Authors
Giovanni Quartararo
Enrico Facchiano
Stefano Scaringi
Gadiel Liscia
Marcello Lucchese
Publication date
01-07-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1263-5

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