Skip to main content
SpringerLink
Log in

Komplikationen und metabolische Störungen nach bariatrischen Operationen aus gastroenterologischer Sicht

Complications and metabolic disorders following bariatric operations from the perspective of gastroenterology

  • Schwerpunkt
  • Published:
Der Gastroenterologe Aims and scope

Zusammenfassung

Zahlreiche Publikationen belegen die Wirksamkeit bariatrischer Verfahren im Hinblick auf Gewichtsreduktion und die damit verbundene Abnahme von Morbidität und Mortalität morbid Adipöser. In Abhängigkeit vom eingesetzten Verfahren kann es allerdings zu einer Reihe von Früh- und auch Spätkomplikationen kommen, die in einigen Fällen zu gravierenden Beeinträchtigungen im Alltag der Patienten und in Einzelfällen – mit erheblicher zeitlicher Latenz – zu lebensbedrohlichen Mangelerscheinungen führen können. Eine regelmäßige, lebenslange, interdisziplinäre Nachsorge sollte neben der Behandlung vorbestehender Erkrankungen die Vermeidung etwaiger Mangelzustände zu Ziel haben.

Abstract

Many publications have confirmed the effectiveness of bariatric procedures with respect to weight reduction and the associated decrease in morbidity and mortality of the morbidly obese. It can however lead to a series of early and late complications, depending on the procedure used, which in some cases can lead to severe limitations in the daily routine of patients and in isolated cases, with substantial time delay, to the life-threatening appearance of deficiencies. A routine lifelong interdisciplinary follow-up therapy should aim to avoid such deficient conditions in addition to the treatment of preexisting diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Abbreviations

BPD:

Biliopankreatische Diversion

BPD-DS:

Biliopankreatische Diversion mit Duodenalswitch

LSG:

Laparoskopische Sleeve-Gastrektomie

RYGBP:

Roux-en-Y-Magenbypass („Roux-en-Y gastric bypass”)

VGB:

Vertikale bandverstärkte Gastroplastik

Literatur

  1. Adams TD, Gress RE, Smith SC et al (2007) Long-term mortality after gastric bypass surgery. N Engl J Med 357: 753–761

    Article  PubMed  CAS  Google Scholar 

  2. Adams TD, Stroup AM, Gress RE et al (2009) Cancer incidence and mortality after gastric bypass surgery. Obesity (Silver Spring) 17: 796–802

    Google Scholar 

  3. Aills L, Blankenship J, Buffington C et al (2008) Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surg Obes Relat Dis 4 (Suppl 5): S73–S108

    Article  PubMed  Google Scholar 

  4. Almahmeed T, Gonzalez R, Nelson LG et al (2007) Morbidity of anastomotic leaks in patients undergoing Roux-en-Y gastric bypass. Arch Surg 142: 954–957

    Article  PubMed  Google Scholar 

  5. Avgerinos DV, Llaguna OH, Seigerman M et al (2010) Incidence and risk factors for the development of anemia following gastric bypass surgery. World J Gastroenterol 16: 1867–1870. Shankar P, Boylan M, Sriram K (2010) Micronutrient deficiencies after bariatric surgery. Nutrition 26: 1031–1037

    Article  Google Scholar 

  6. Bal B, Koch TR, Finelli FC, Sarr MG (2010) Medscape. Managing medical and surgical disorders after divided Roux-en-Y gastric bypass surgery. Nat Rev Gastroenterol Hepatol 7: 320–334

    PubMed  Google Scholar 

  7. Ballesta C, Berindoague R, Cabrera M et al (2008) Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass. Obes Surg 18: 623–630

    Article  PubMed  Google Scholar 

  8. Boldery R, Fielding G, Rafter T et al (2007) Nutritional deficiency of selenium secondary to weight loss (bariatric) surgery associated with life-threatening cardiomyopathy. Heart Lung Circ 16: 123–6126

    Article  PubMed  Google Scholar 

  9. Boschi S, Fogli L, Berta RD et al (2006) Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients. Obes Surg 16: 1166–1170

    Article  PubMed  Google Scholar 

  10. Brolin RE (2002) Bariatric surgery and long-term control of morbid obesity. JAMA 288: 2793–2796

    Article  PubMed  Google Scholar 

  11. Buchwald H, Avidor Y, Braunwald E et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292: 1724–1737

    Article  PubMed  CAS  Google Scholar 

  12. Clements RH, Katasani VG, Palepu R et al (2006) Incidence if vitamin deficiency after laparoscopic roux-en-Y gastric bypass in a university hospital setting. Am Surg 72: 1196–1202

    PubMed  Google Scholar 

  13. Collazo-Clavell ML, Jimenez A, Hodgson SF, Sarr MG (2004) Osteomalacia after Roux-en-Y gastric bypass. Endocr Pract 10: 195–1988

    PubMed  Google Scholar 

  14. Dawson-Hughes B et al (2005) Estimates of optimal vitamin D status. Osteoporos Int 16: 713–716

    Article  PubMed  CAS  Google Scholar 

  15. Giudice EM del, Santoro N, Amato A et al (2009) Hepcidin in obese children as a potential mediator of the association between obesity and iron deficiency. J Clin Endocrinol Metab 94: 5102–5107

    Article  PubMed  Google Scholar 

  16. Dolan K, Hatzifotis M, Newbury L, Fielding G (2004) A comparison of laparoscopic adjustable gastric banding and biliopancreatic diversion in superobesity. Obes Surg 14: 165–169

    Article  PubMed  Google Scholar 

  17. Duffey BG, Pedro RN, Makhlouf A et al (2008) Roux-en-Y gastric bypass is associated with early increased risk factors for development of calcium oxalate nephrolithiasis. J Am Coll Surg 206: 1145–1153

    Article  PubMed  Google Scholar 

  18. Duffey BG, Alanee S, Pedro RN et al (2010) Hyperoxaluria is a long-term consequence of Roux-en-Y Gastric bypass: a 2-year prospective longitudinal study. J Am Coll Surg 211: 8–15

    Article  PubMed  Google Scholar 

  19. Durak E, Inabnet WB, Schrope B et al (2008) Incidence and management of enteric leaks after gastric bypass for morbid obesity during a 10-year period. Surg Obes Relat Dis 4: 389–393

    Article  PubMed  Google Scholar 

  20. El-Kadre LJ, Rocha PR, Almeida Tinoco AC de, Tinoco RC (2004) Calcium metabolism in pre- and postmenopausal morbidly obese women at baseline and after laparoscopic Roux-en-Y gastric bypass. Obes Surg 14: 1062–1066

    Article  PubMed  Google Scholar 

  21. Ernst B, Thurnheer M, Schmid SM, Schultes B (2009) Evidence for the necessity to systematically assess micronutrient status prior to bariatric surgery. Obes Surg 19: 66–73

    Article  PubMed  Google Scholar 

  22. Ettinger JE, Souza CA de, Santos-Filho PV et al (2007) Rhabdomyolysis: diagnosis and treatment in bariatric surgery. Obes Surg 17: 525–352

    Article  PubMed  Google Scholar 

  23. Facchiano E, Scaringi S, Sabate JM et al (2007) Is esophageal dysmotility after laparoscopic adjustable gastric banding reversible? Obes Surg 17: 832–835

    Article  PubMed  Google Scholar 

  24. Faintuch J et al (2004) Severe protein-calorie malnutrition after bariatric procedures. Obes Surg 14: 175–181

    Article  PubMed  Google Scholar 

  25. Fernandez AZ Jr, DeMaria EJ, Tichansky DS et al (2004) Experience with over 3,000 open and laparoscopic bariatric procedures: multivariate analysis of factors related to leak and resultant mortality. Surg Endosc 18: 193–197

    Article  PubMed  Google Scholar 

  26. Flancbaum L, Belsley S, Drake V et al (2006) Preoperative nutritional status of patients undergoing Roux-en-Y gastric bypass for morbid obesity. J Gastrointest Surg 10: 1033–1037

    Article  PubMed  Google Scholar 

  27. Fried M, Hainer V, Basdevant A et al (2007) Inter-disciplinary European guidelines on surgery of severe obesity. Int J Obes 31: 569–577

    CAS  Google Scholar 

  28. Gasteyger C, Suter M, Gaillard RC, Giusti V (2008) Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation. Am J Clin Nutr 87: 1128–1133

    PubMed  CAS  Google Scholar 

  29. Gehring N, Imoberdorf R, Wegmann M et al (2006) Serum albumin – a qualified parameter to determine the nutritional status? Swiss Med Wkly 136: 664–669

    PubMed  Google Scholar 

  30. Goldner WS, Stoner JA, Lyden E et al (2009) Finding the optimal dose of vitamin D following Roux-en-Y gastric bypass: a prospective, randomized pilot clinical trial. Obes Surg 19: 173–179

    Article  PubMed  Google Scholar 

  31. Gong K, Gagner M, Pomp A et al (2008) Micronutrient deficiencies after laparoscopic gastric bypass: recommendations. Obes Surg 18: 1062–1066

    Article  PubMed  Google Scholar 

  32. Gonzalez R, Sarr MG, Smith CD et al (2007) Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg 204: 47–55

    Article  PubMed  Google Scholar 

  33. Hamoui N, Kim K, Anthone G, Crookes PF (2003) The significance of elevated levels of parathyroid hormone in patients with morbid obesity before and after bariatric surgery. Arch Surg 138: 891–897

    Article  PubMed  CAS  Google Scholar 

  34. Harris S, Naina HV, Beckman TJ (2009) Heartbreaking weight loss. Am J Gastroenterol 104: 1322–1323

    Article  PubMed  Google Scholar 

  35. Hatizifotis M, Dolan K, Newbury LG (2003) Symptomatic vitamin A deficiency following biliopancreatic diversion. Obes Surg 13: 655–657

    Article  PubMed  Google Scholar 

  36. Heber D, Greenway FL, Kaplan LM et al (2010) Endocrine and nutritional management of the post-bariatric surgery patient: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 95: 4823–4843

    Article  PubMed  CAS  Google Scholar 

  37. Herrmann W, Obeid R (2008) Ursachen und frühzeitige Diagnostik von Vitamin-B12 Mangel. Dtsch Arztebl 105: 680–685

    Google Scholar 

  38. Herve C, Beyne P, Letteron P, Delacoux E (1995) Comparison of erythrocyte transketolase activity with thiamine and thiamine phosphate ester levels in chronic alcoholic patients. Clin Chim Acta 234: 91–100

    Article  PubMed  CAS  Google Scholar 

  39. Hill GM, Link JE (2009) Transporters in the absorption and utilization of zinc and copper. J Anim Sci 87: E858–E859

    Article  Google Scholar 

  40. Holick MF (2006) High prevalence of vitamin D inadequacy and implications for health. Mayo Clin Proc 81: 353–373

    Article  PubMed  CAS  Google Scholar 

  41. Hvas AM, Nexo E (2006) Diagnosis and treatment of vitamin B12 deficiency – an update. Haematologica 91: 1506–1512

    PubMed  CAS  Google Scholar 

  42. Johnson JM et al (2005) Effects of gastric bypass procedures on bone mineral density, calcium, parathyroid hormone, and vitamin D. J Gastrointest Surg 9: 1106–1110

    Article  PubMed  Google Scholar 

  43. Johnson JM et al (2006) The long-term effects of gastric bypass on vitamin D metabolism. Ann Surg 243: 701–704

    Article  PubMed  Google Scholar 

  44. Jouet P, Coffin B, Sabate JM (2010) Small intestinal bacterial overgrowth in patients with morbid obesity. Dig Dis Sci

  45. Kumar N, Butz JA, Burritt MF (2007) Clinical significance of the laboratory determination of low serum copper in adults. Clin Chem Lab Med 45: 1402–1410

    Article  PubMed  CAS  Google Scholar 

  46. Lakhani SV, Shah HN, Alexander K et al (2008) Small intestinal bacterial overgrowth and thiamine deficiency after Roux-en-Y gastric bypass surgery in obese patients. Nutr Res 28: 293–229

    Article  PubMed  CAS  Google Scholar 

  47. Lalor PF, Tucker ON, Szomstein S, Rosenthal RJ (2008) Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis 4: 33–38

    Article  PubMed  Google Scholar 

  48. Li VK, Pulido N, Fajnwaks P et al (2009) Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy. Surg Endosc 23: 1640–1644

    Article  PubMed  Google Scholar 

  49. Love AL, Billett HH (2008) Obesity, bariatric surgery, and iron deficiency: true, true, true and related. Am J Hematol 83: 403–409

    Article  PubMed  Google Scholar 

  50. Machado JD, Campos CS, Lopes Dah Silva C et al (2008) Intestinal bacterial overgrowth after Roux-en-Y gastric bypass. Obes Surg 18: 139–143

    Article  PubMed  Google Scholar 

  51. Madan AK, Orth WS, Tichansky DS, Ternovits CA (2006) Vitamin and trace mineral levels after laparoscopic gastric bypass. Obes Surg 16: 603–606

    Article  PubMed  Google Scholar 

  52. Maggard MA, Shugarman LR, Suttorp M et al (2005) Meta-analysis: surgical treatment of obesity. Ann Intern Med 142: 547–559

    PubMed  Google Scholar 

  53. Mahlay NF, Verka LG, Thomsen K et al (2009) Vitamin D status before Roux-en-Y and efficacy of prophylactic and therapeutic doses of vitamin D in patients after Roux-en-Y gastric bypass surgery. Obes Surg 19: 590–594

    Article  PubMed  Google Scholar 

  54. Mathus-Vliegen EM (2009) Obesity and the gastroenterologist. Endoscopy 41: 608–611

    Article  PubMed  CAS  Google Scholar 

  55. Mathus-Vliegen EM (2008) The role of endoscopy in bariatric surgery. Best Pract Res Clin Gastroenterol 22: 839–864

    Article  PubMed  CAS  Google Scholar 

  56. Mechanick JI, Kushner RF, Sugerman HJ et al (2008) American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Medical Guidelines for Clinical Practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Surg Obes Relat Dis 4(5 Suppl): 109–184

    Article  Google Scholar 

  57. Monkhouse SJ, Morgan JD, Norton SA (2009) Complications of bariatric surgery: presentation and emergency management – a review. Ann R Coll Surg Engl 91: 280–286

    Article  PubMed  CAS  Google Scholar 

  58. Muñoz M, Botella-Romero F, Gómez-Ramírez S et al (2009) Iron deficiency and anaemia in bariatric surgical patients: causes, diagnosis and proper management. Nutr Hosp 24: 640–654

    PubMed  Google Scholar 

  59. Newbury L, Dolan K, Hatzifotis M, Low N, Fielding G (2003) Calcium and vitamin D depletion and elevated parathyroid hormone following biliopancreatic diversion. Obes Surg 13: 893–895

    Article  PubMed  Google Scholar 

  60. Nogueira N, Santos de Sousa G, Marreiro DN (2007) The effect of Roux-en-Y gastric bypass on zinc nutritional status. Obes Surg 17: 617–621

    Article  Google Scholar 

  61. Pieracci FM, Barie PS, Pomp A (2006) Critical care of the bariatric patient. Crit Care Med 34(6): 1796–1804

    Article  PubMed  Google Scholar 

  62. Pires LV, Martins LM, Geloneze B et al (2007) The effect of Roux-en-Y gastric bypass on zinc nutritional status. Obes Surg 17: 617–621

    Article  PubMed  Google Scholar 

  63. Potoczna N, Harfmann S, Steffen R et al (2008) Bowel habits after bariatric surgery. Obes Surg 18: 1287–1296

    Article  PubMed  Google Scholar 

  64. Qantara L, Nascimbeni G, Semeraro F, Quaranta CA (1994) Severe corneoconjuctival xerosis after biliopancreatic bypass for obesity (Scopinaro’s operation). Am J Ophtalmol 118: 817–818

    Google Scholar 

  65. Sabaté JM, Jouët P, Harnois F et al (2008) High prevalence of small intestinal bacterial overgrowth in patients with morbid obesity: a contributor to severe hepatic steatosis. Obes Surg 18: 371–377

    Article  PubMed  Google Scholar 

  66. Sallé A, Demarsy D, Poirier AL et al (2010) Zinc deficiency: A frequent and underestimated complication after bariatric surgery. Obes Surg 20: 1660–1670

    Article  PubMed  Google Scholar 

  67. Schuchardt V, Hansen HC (1999) Alkoholdelir und Wernicke-Enzephalopathie. In: Schwab S et al (Hrsg) Neurologische Intensivmedizin. Springer, Berlin Heidelberg New York, S 655–659

  68. Serra C, Baltasar A, Andreo L et al (2007) Treatment of gastric leaks with coated self-expanding stents after sleeve gastrectomy. Obes Surg 17: 866–872

    Article  PubMed  Google Scholar 

  69. Schölmerich J (2004) Postgastrectomy syndromes-diagnosis and treatment. Best Pract Res Clin Gastroenterol 18: 917–933

    PubMed  Google Scholar 

  70. Schweiger C, Weiss R, Berry E, Keidar A (2010) Nutritional deficiencies in bariatric surgery candidates. Obes Surg 20: 193–197

    Article  PubMed  Google Scholar 

  71. Schweitzer DH, Posthuma EF (2008) Prevention of vitamin and mineral deficiencies after bariatric surgery: evidence and algorithms. Obes Surg 18: 1485–1488

    Article  PubMed  Google Scholar 

  72. Schweitzer DH (2007) Mineral metabolism and bone disease after bariatric surgery and ways to optimize bone health. Obes Surg 17: 1510–1516

    Article  PubMed  Google Scholar 

  73. Sidhu H, Gupta R, Thind SK, Nath R (1987) Oxalate metabolism in thiamine-deficient rats. Ann Nutr Metab 31: 354–361

    Article  PubMed  CAS  Google Scholar 

  74. Singh S, Kumar A (2007) Wernicke encephalopathy after obesity surgery: a systematic review. Neurology 68: 807–811

    Article  PubMed  Google Scholar 

  75. Sjöström L, Narbro K, Sjöström CD et al (2007) Swedish Obese Subjects Study. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med 357: 741–752

    Article  PubMed  Google Scholar 

  76. Skroubis G, Karamanakos S, Sakellaropoulos G et al (2011) Comparison of early and late complications after various bariatric procedures: Incidence and treatment during 15 years at a single institution. World J Surg 35: 93–101

    Article  PubMed  Google Scholar 

  77. Skroubis G, Sakellaropoulos G, Pouggouras K et al (2002) Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass. Obes Surg 12: 551–558

    Article  PubMed  Google Scholar 

  78. Slater GH et al (2004) Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg 8: 48–55

    Article  PubMed  Google Scholar 

  79. Song A, Fernstrom MH (2008) Nutritional and psychological considerations after bariatric surgery. Aesthet Surg J 28: 195–199

    Article  PubMed  CAS  Google Scholar 

  80. Stahl A, Heseker H (2007) Vitamin B12: Physiologie, Funktionen, Vorkommen, Empfehlungen und Versorgung in der BRD. Ernahrungsumschau 54: 594–601

    CAS  Google Scholar 

  81. Stein J, Hartmann F, Dignass AU (2010) Diagnosis and management of iron deficiency anemia in patients with IBD. Nat Rev Gastroenterol Hepatol 7: 599–610

    Article  PubMed  CAS  Google Scholar 

  82. Stein J, Schröder O (2006) Resorptionstests. In: Stein J, Wehrmann T (Hrsg) Funktionsdiagnostik in der Gastroenterologie, 2. Aufl. Springer, Berlin Heidelberg New York, S 125–180

  83. Stein J (2006) Der operierte Magen. In: Caspary WF, Mössner J, Stein J (Hrsg) Therapie gastroenterologischer Erkrankungen. Springer-Verlag, Berlin Heidelberg New York

  84. Stein JM, Schneider AR (2007) Bacterial overgrowth syndrome. Z Gastroenterol 45: 620–628

    Article  PubMed  CAS  Google Scholar 

  85. Suter M, Dorta G, Giusti V, Calmes JM (2005) Gastric banding interferes with esophageal motility and gastroesophageal reflux. Arch Surg 140: 639–643

    Article  PubMed  Google Scholar 

  86. Thodiyil PA, Yenumula P, Rogula T et al (2008) Selective nonoperative management of leaks after gastric bypass: lessons learned from 2675 consecutive patients. Ann Surg 248: 782–792

    Article  PubMed  Google Scholar 

  87. Toh SY, Zarshenas N, Jorgensen J (2009) Prevalence of nutrient deficiencies in bariatric patients. Nutrition 25: 1150–1156

    Article  PubMed  CAS  Google Scholar 

  88. Troost FJ, Brummer RJ, Dainty JR et al (2003) Iron supplements inhibit zinc but not copper absorption in vivo in ileostomy subjects. Am J Clin Nutr 78: 1018–1023

    PubMed  CAS  Google Scholar 

  89. Vargas-Ruiz AG, Hernández-Rivera G, Herrera MF (2008) Prevalence of iron, folate, and vitamin B12 deficiency anemia after laparoscopic Roux-en-Y gastric bypass. Obes Surg 18: 288–293

    Article  PubMed  Google Scholar 

  90. Varma S, Baz W, Badine E et al (2008) Need for parenteral iron therapy after bariatric surgery. Surg Obes Relat Dis 4: 715–719

    Article  PubMed  Google Scholar 

  91. Drygalski A von, Andris DA, Nuttleman PR et al (2010) Anemia after bariatric surgery cannot be explained by iron deficiency alone: results of a large cohort study. Surg Obes Relat Dis [Epub ahead of print]

  92. Drygalski A von, Andris DA (2009) Anemia after bariatric surgery: more than just iron deficiency. Nutr Clin Pract 24: 217–226

    Article  Google Scholar 

  93. Wiesner W, Hauser M, Schöb O et al (2001) Pseudo-achalasia following laparoscopically placed adjustable gastric banding. Obes Surg 11: 513–518

    Article  PubMed  CAS  Google Scholar 

  94. Winckler K (2009) Ernährungsmedizinische Nachsorge nach Adipositaschirurgie. Aktuel Ernahrungsmed 34: 33–37

    Article  Google Scholar 

  95. Worcester EM, Coe FL (2010) Clinical practice. Calcium kidney stones. N Engl J Med 363: 954–963

    Article  PubMed  CAS  Google Scholar 

  96. Ybarra J, Sánchez-Hernández J, Gich I et al (2005) Unchanged hypovitaminosis D and secondary hyperparathyreodysm in morbid obesity after bariatric surgery. Obes Surg 15: 330–335

    Article  PubMed  Google Scholar 

  97. Ziegler O, Sirveaux MA, Brunaud L et al (2009) Medical follow up after bariatric surgery: nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies. Diabetes Metab 35: 544–557

    Article  PubMed  CAS  Google Scholar 

  98. Zundel N, Hernandez JD, Galvao Neto M, Campos J (2010) Strictures after laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech 20: 154–158

    Article  PubMed  Google Scholar 

  99. Weiner RA (Hrsg) (2010) Adipositaschirurgie. Elsevier, München, S 291–318

  100. Lagandré S, Arnalsteen L, Vallet B (2006) Predictive factors for rhabdomyolysis after bariatric surgery. Obes Surg. Oct;16(10):1365-70

    Google Scholar 

  101. Mohaupt MG (2003) Rhabdomyolysen. Therapeutische Umschau 7: 391–397

    Article  Google Scholar 

  102. Go MR, Muscarella P 2nd, Needleman BJ et al (2004) Endoscopic management of stomal stenosis after Roux-en-Y gastric bypass. Surg Endosc 18:56–59

    Article  PubMed  CAS  Google Scholar 

  103. Miller KA, Pump A (2007) Use of bioabsorbable staple reinforcement material in gastric bypass: a prospective randomized clinical trial. Surg Obes Relat Dis 3:417–421

    Article  PubMed  Google Scholar 

  104. Cucchi SG, Pories WJ, MacDonald KG, Morgan EJ (1995) Gastrogastric fistulas. A complication of divided gastric bypass surgery. Ann Surg 221:387–391

    Article  PubMed  CAS  Google Scholar 

  105. Burgos AM, Braghetto I, Csendes A et al (2009) Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg 19:1672–1677

    Article  PubMed  Google Scholar 

  106. Fuks D, Dumont F, Berna P et al (2009) Case report-complex management of a postoperative bronchogastric fistula after laparoscopic sleeve gastrectomy. Obes Surg 19:261–264

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Keine Angaben.

Author information

Authors and Affiliations

  1. St. Elisabethen-Krankenhaus, Katharina-Kasper gGmbH, Ginnheimer Str. 3, 60487, Frankfurt am Main, Deutschland

    J. Stein

  2. Schwerpunktpraxis für Ernährungsmedizin, Frankfurt am Main, Deutschland

    K. Winckler

  3. Interdisziplinäres Facharztzentrum Sachsenhausen, Frankfurt am Main, Deutschland

    G. Teuber

Authors
  1. J. Stein
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Winckler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Teuber
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. Stein.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stein, J., Winckler, K. & Teuber, G. Komplikationen und metabolische Störungen nach bariatrischen Operationen aus gastroenterologischer Sicht. Gastroenterologe 6, 33–39 (2011). https://doi.org/10.1007/s11377-010-0469-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11377-010-0469-x

Schlüsselwörter

Keywords

Search

Navigation