Presented by Thadeus Trus, MD at the SAGES 2014 Meeting; Panel – Endoscopic Management of Bariatric Complications
definitions–23 sec epidemiology with citations–51 sec https://www.ncbi.nlm.nih.gov/pubmed/?term=18629595 https://www.ncbi.nlm.nih.gov
Keyword(s): active oozing, acute bleed, acute complications, acute post op bleeding, acute post op hemorrhage, acute SBO, adherent clot, afferent limb, air tight, ambulatory, American Journal of Gastroenterology, American Journal of Surgery, anastomotic, anesthesiologists, angio dysplastic lesion, angiography, anticoagulate, Archives of Surgery, aspiration, assess, balloon endoscopy, bariatric patients, bariatric surgery, benefit, best poster award, bias, bleeding complications, bleeding events, bleeding prevention, bleeding ulcer, BMI, cardiologists, case report, clinical observation alone, clip, clopidogrel, clot, clotted blood, combination therapy, comparative use, comparison, conservative management, controlling bleeding, coronary stents, CT, CT confirmation, data, decrease bleeding rate, definitions, definitive study, diagnostic endoscopy, diet, different techniques, distal anastomosis, distal stomach, distended distal remnant, do not require intervention, double balloon endoscopy, duodenum, dx, early postop hemorrhage, early upper GI hemorrhage, early vs late bleeding, EGD, elective operation, emesis, endoscope, endoscopic exploration, Endoscopic Management of Bariatric Complications, endoscopic therapy, endoscopy suite, endotherapy, Enoxaparin, epi injection, epidemiology, evacuate clot, evidence of bleeding, EWOL tube, excluded stomach, extraluminal, extraluminal bleed, flow chart, fluid, fluid bolus, fresh anastomosis, gastrotomy, GJ bleed, GJ staple line, Heater-Probe, hematemesis, hematochezia, hemoclip placement, hemodynamic instability, hemodynamic markers, Heparin, high risk, higher incidence, hold antithrombotics, identify, incidence of bleeding, increased bleed risk, increased incidence, initial resuscitation, intervene, intra-op Ketolorac, intraluminal bleed, intrluminal, ischemia, JJ, lap assisted, lap assisted push endoscopy, lap management, lap vs open, lavage, leak, lit, lit review, literature, LMWH, long staple line, lovenox, low threshold, LRYGB, major bleeding, Mallory-Weiss tear, manifest, manipulate, melena, meta-analysis, Michigan Bariatric Surgery Collaborative, mild bleeding, milk, minimal air insufflation, multicenter study, no source of bleeding, not significantly higher, Obesity Surgery, Olympus consulting agreement, omental bleeding, ongoing bleeding, ongoing instability, ooze, oversew, percutaneous liver bx, perf, perf bowel, periop anticoagulation, Plavix, possible sources, post op, postop bleeding, precipitous drop in Hgb, preciptitous drop in Hct, predisposing factors, present, prophylactic regimens, re-exploration, rebleeding, reinforce, reinforce with stitch, renal function, repeat endoscopy, repeated wretching, restart anticoagulants, retest, routinely scope, Roux limb, ruptured anastomosis, RYGB, safe, severe bleeding, severity, single episode, SLR, small series, source of bleeding, staple line, staple line reinforcement, staple size, staple technology, stitch marker, subcapsular hematoma, super obese, Surgery for Obesity and Related Diseases, tenuous cardiac disease, therapeutic endoscopy, thromboembolic, Toradol, transfusion risk, type of bleed, ulcers, underutilized, unexplained tachycardia, unfractionated heparin, visible vessel, vomit, VTE prevention, wash out
definitions–23 sec epidemiology with citations–51 sec https://www.ncbi.nlm.nih.gov/pubmed/?term=18629595 https://www.ncbi.nlm.nih.gov
Keyword(s): active oozing, acute bleed, acute complications, acute post op bleeding, acute post op hemorrhage, acute SBO, adherent clot, afferent limb, air tight, ambulatory, American Journal of Gastroenterology, American Journal of Surgery, anastomotic, anesthesiologists, angio dysplastic lesion, angiography, anticoagulate, Archives of Surgery, aspiration, assess, balloon endoscopy, bariatric patients, bariatric surgery, benefit, best poster award, bias, bleeding complications, bleeding events, bleeding prevention, bleeding ulcer, BMI, cardiologists, case report, clinical observation alone, clip, clopidogrel, clot, clotted blood, combination therapy, comparative use, comparison, conservative management, controlling bleeding, coronary stents, CT, CT confirmation, data, decrease bleeding rate, definitions, definitive study, diagnostic endoscopy, diet, different techniques, distal anastomosis, distal stomach, distended distal remnant, do not require intervention, double balloon endoscopy, duodenum, dx, early postop hemorrhage, early upper GI hemorrhage, early vs late bleeding, EGD, elective operation, emesis, endoscope, endoscopic exploration, Endoscopic Management of Bariatric Complications, endoscopic therapy, endoscopy suite, endotherapy, Enoxaparin, epi injection, epidemiology, evacuate clot, evidence of bleeding, EWOL tube, excluded stomach, extraluminal, extraluminal bleed, flow chart, fluid, fluid bolus, fresh anastomosis, gastrotomy, GJ bleed, GJ staple line, Heater-Probe, hematemesis, hematochezia, hemoclip placement, hemodynamic instability, hemodynamic markers, Heparin, high risk, higher incidence, hold antithrombotics, identify, incidence of bleeding, increased bleed risk, increased incidence, initial resuscitation, intervene, intra-op Ketolorac, intraluminal bleed, intrluminal, ischemia, JJ, lap assisted, lap assisted push endoscopy, lap management, lap vs open, lavage, leak, lit, lit review, literature, LMWH, long staple line, lovenox, low threshold, LRYGB, major bleeding, Mallory-Weiss tear, manifest, manipulate, melena, meta-analysis, Michigan Bariatric Surgery Collaborative, mild bleeding, milk, minimal air insufflation, multicenter study, no source of bleeding, not significantly higher, Obesity Surgery, Olympus consulting agreement, omental bleeding, ongoing bleeding, ongoing instability, ooze, oversew, percutaneous liver bx, perf, perf bowel, periop anticoagulation, Plavix, possible sources, post op, postop bleeding, precipitous drop in Hgb, preciptitous drop in Hct, predisposing factors, present, prophylactic regimens, re-exploration, rebleeding, reinforce, reinforce with stitch, renal function, repeat endoscopy, repeated wretching, restart anticoagulants, retest, routinely scope, Roux limb, ruptured anastomosis, RYGB, safe, severe bleeding, severity, single episode, SLR, small series, source of bleeding, staple line, staple line reinforcement, staple size, staple technology, stitch marker, subcapsular hematoma, super obese, Surgery for Obesity and Related Diseases, tenuous cardiac disease, therapeutic endoscopy, thromboembolic, Toradol, transfusion risk, type of bleed, ulcers, underutilized, unexplained tachycardia, unfractionated heparin, visible vessel, vomit, VTE prevention, wash out