| Autor: |
Davrieux CF; DAICIM Foundation (Teaching, Research, Assistance in Minimal Invasive Surgery), Buenos Aires, Argentina.; Department of Surgery, Sanatorio de la Mujer, Rosario, Argentina., Palermo M; DAICIM Foundation (Teaching, Research, Assistance in Minimal Invasive Surgery), Buenos Aires, Argentina.; Department of Bariatric Surgery, Diagnomed, Buenos Aires, Argentina.; School of Medicine, University of Buenos Aires, Buenos Aires, Argentina., Cúneo T; Department of Interventional Radiology, Sanatorio Británico, Rosario, Argentina., Zanutini D; Department of Interventional Radiology, Sanatorio Británico, Rosario, Argentina., Giménez ME; DAICIM Foundation (Teaching, Research, Assistance in Minimal Invasive Surgery), Buenos Aires, Argentina.; School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.; IRCAD (Institute for Research on Cancer of the Digestive System), Strasbourg, France.; IHU-Strasbourg (Hospital-University Institute), Strasbourg, France. |
| Abstrakt: |
Background: Obesity treatment requires surgical procedures included in bariatric surgery. Bleeding complications are reported in 1%-4%. Image-guided surgery (IGS) includes minimally invasive procedures that have the advantage of less aggression to the patient, fewer complications, and a quick recovery. Endovascular therapy by interventional radiology (IR) is a minimally invasive image-guided procedure widely used in central, peripheral, and splanchnic vascular pathology. Treatment of postoperative bleeding in bariatric surgery can be aided by image-guided endovascular procedures. Objectives: The aim of this study is to carry out an update on the application of IR in bariatric surgery bleeding complications. Bleeding Complications: General rate of postoperative complications in bariatric surgery is 0%-10%. Postoperative bleeding (1%-4%) can be gastrointestinal (endoscopic treatment) or intra-abdominal (surgical treatment/relaparoscopy). In the case of arterial vascular lesions that cannot be resolved either endoscopically or surgically, the option of endovascular treatment with IR should be considered. Conclusions: Endovascular approach through IR and IGS in bleeding complications after bariatric surgery is presented as a valid minimally invasive therapy option in this group of patients. |
