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Emerg Med Pract. 2019 Jul;21(7):1-28. Epub 2019 Jul 1.

Emergency department management of patients with complications of bariatric surgery

Author information

1
Associate Director, Residency Training Program, Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; Assistant Professor, David Geffen School of Medicine at UCLA, Los Angeles, CA

Abstract

As bariatric procedures have become more common, more of these patients present to the emergency department postoperatively. The most common complaints in these patients are abdominal pain, nausea, and vomiting, though each of the surgical procedures will present with specific complications, and management will vary according to the surgical procedure performed. Computed tomography is often the primary imaging modality, though it has it limits, and plain film imaging is appropriate in some cases. This review presents an overview of the various bariatric procedures, highlighting the potential complications of each, both surgical and nonsurgical, and provides evidence-based recommendations regarding patient management and disposition.

PMID:
31233303

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