Jorunn Sandvik1,2,3, Torstein Hole4,5, Christian A Klöckner6,7, Bård E Kulseng6,8, Arne Wibe9,10. 1. Clinic of Medicine and Rehabilitation, More and Romsdal Hospital Trust, Alesund, Norway. jorunn.sandvik@stolav.no. 2. Center for Obesity, Department of Surgery, St. Olav Hospital, Trondheim University Hospital, Trondheim, Norway. jorunn.sandvik@stolav.no. 3. Obesity Research Group at Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway. jorunn.sandvik@stolav.no. 4. Clinic of Medicine and Rehabilitation, More and Romsdal Hospital Trust, Alesund, Norway. 5. Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Trondheim, Norway. 6. Center for Obesity, Department of Surgery, St. Olav Hospital, Trondheim University Hospital, Trondheim, Norway. 7. Department of Psychology, NTNU - Norwegian University of Science and Technology, Trondheim, Norway. 8. Obesity Research Group at Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway. 9. Department of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway. 10. Department of Surgery, St. Olav Hospital, Trondheim University Hospital, Trondheim, Norway.
Abstract
INTRODUCTION: Acute, intermittent, and chronic abdominal pain is a common complaint after Roux-en-Y gastric bypass (RYGB). OBJECTIVES: The aim of the study was to evaluate the use of medical imaging and the need for surgery treating abdominal pain after RYGB in a cohort with long-term follow-up. METHODS: Data from 569 patients who underwent RYGB as the primary bariatric procedure at a public hospital in Norway between April 2004 and June 2011 were prospectively registered in a local quality registry for bariatric surgery. All abdominal imaging and abdominal surgical procedures were registered until August 2017. RESULTS: Mean follow-up was 100 months (61-159). During the observation period, 22% had one CT, 9% had two CTs, 4% had three CTs, and 5% had four or more CTs for abdominal pain. Twenty-two percent underwent abdominal surgery, as 16% had one and 6% had two or more operations and gynecological procedures excluded. The purpose of operation was postoperative complications (1.4%), suspected internal herniation (9.3%), cholecystectomy (9.3%), appendectomy (2.3%), hernias (3.2%), and perforated ulcer in the gastrojejunal anastomosis (0.7%). Mean time interval was 42 ± 27 months from RYGB to cholecystectomy and 51 ± 26 months for suspected IH. CONCLUSION: With a mean follow-up period of more than 8 years after RYGB, 40% of the patients suffered from abdominal pain, needing one or more CT scans. The need for surgery treating suspected internal hernia and cholecystectomy was equal, at 9.3% for both procedures, but the mean time from RYGB to operation was shorter for cholecystectomies.
INTRODUCTION: Acute, intermittent, and chronic abdominal pain is a common complaint after Roux-en-Y gastric bypass (RYGB). OBJECTIVES: The aim of the study was to evaluate the use of medical imaging and the need for surgery treating abdominal pain after RYGB in a cohort with long-term follow-up. METHODS: Data from 569 patients who underwent RYGB as the primary bariatric procedure at a public hospital in Norway between April 2004 and June 2011 were prospectively registered in a local quality registry for bariatric surgery. All abdominal imaging and abdominal surgical procedures were registered until August 2017. RESULTS: Mean follow-up was 100 months (61-159). During the observation period, 22% had one CT, 9% had two CTs, 4% had three CTs, and 5% had four or more CTs for abdominal pain. Twenty-two percent underwent abdominal surgery, as 16% had one and 6% had two or more operations and gynecological procedures excluded. The purpose of operation was postoperative complications (1.4%), suspected internal herniation (9.3%), cholecystectomy (9.3%), appendectomy (2.3%), hernias (3.2%), and perforated ulcer in the gastrojejunal anastomosis (0.7%). Mean time interval was 42 ± 27 months from RYGB to cholecystectomy and 51 ± 26 months for suspected IH. CONCLUSION: With a mean follow-up period of more than 8 years after RYGB, 40% of the patients suffered from abdominal pain, needing one or more CT scans. The need for surgery treating suspected internal hernia and cholecystectomy was equal, at 9.3% for both procedures, but the mean time from RYGB to operation was shorter for cholecystectomies.
Authors: Noëlle Geubbels; Eveline A Röell; Yair I Z Acherman; Sjoerd C Bruin; Arnold W J M van de Laar; L Maurits de Brauw Journal: Obes Surg Date: 2016-08 Impact factor: 4.129