Usefulness of upper gastrointestinal series to detect leaks in the early postoperative period of bariatric surgery
Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile. To examine the usefulness...
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| Veröffentlicht in: | Revista medíca de Chile 2016-04, Vol.144 (4), p.451-455 |
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| container_title | Revista medíca de Chile |
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| creator | Medina, Francisco J Miranda-Merchak, Andrés Martínez, Alonso Sánchez, Felipe Bravo, Sebastián Contreras, Juan Eduardo Alliende, Isabel Canals, Andrea |
| description | Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile.
To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery.
A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy.
Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%.
Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique. |
| doi_str_mv | 10.4067/S0034-98872016000400005 |
| format | Article |
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To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery.
A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy.
Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%.
Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique.</description><identifier>EISSN: 0717-6163</identifier><identifier>DOI: 10.4067/S0034-98872016000400005</identifier><identifier>PMID: 27401376</identifier><language>spa</language><publisher>Chile</publisher><subject>Adult ; Anastomotic Leak - diagnostic imaging ; Anastomotic Leak - etiology ; Bariatric Surgery - adverse effects ; Contrast Media ; Female ; Gastrectomy - adverse effects ; Humans ; Laparoscopy - adverse effects ; Male ; Middle Aged ; Obesity, Morbid - surgery ; Postoperative Period ; Prospective Studies ; Reproducibility of Results ; Sensitivity and Specificity ; Tomography, X-Ray Computed - methods ; Upper Gastrointestinal Tract - diagnostic imaging</subject><ispartof>Revista medíca de Chile, 2016-04, Vol.144 (4), p.451-455</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27401376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Medina, Francisco J</creatorcontrib><creatorcontrib>Miranda-Merchak, Andrés</creatorcontrib><creatorcontrib>Martínez, Alonso</creatorcontrib><creatorcontrib>Sánchez, Felipe</creatorcontrib><creatorcontrib>Bravo, Sebastián</creatorcontrib><creatorcontrib>Contreras, Juan Eduardo</creatorcontrib><creatorcontrib>Alliende, Isabel</creatorcontrib><creatorcontrib>Canals, Andrea</creatorcontrib><title>Usefulness of upper gastrointestinal series to detect leaks in the early postoperative period of bariatric surgery</title><title>Revista medíca de Chile</title><addtitle>Rev Med Chil</addtitle><description>Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile.
To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery.
A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy.
Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%.
Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique.</description><subject>Adult</subject><subject>Anastomotic Leak - diagnostic imaging</subject><subject>Anastomotic Leak - etiology</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Contrast Media</subject><subject>Female</subject><subject>Gastrectomy - adverse effects</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Upper Gastrointestinal Tract - diagnostic imaging</subject><issn>0717-6163</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UEtPwzAYi5AQG4-_ADlyKXxp0jyOaOIlTeIAO1dp-nUEuqYkKdL-PUWMg2UfbEs2IVcMbgRIdfsKwEVhtFYlMAkAYgZUR2QJiqlCMskX5DSlD4BSSaZPyKJUAhhXckniJmE39QOmRENHp3HESLc25Rj8kDFlP9ieJoweE82BtpjRZdqj_UzUDzS_I0Ub-z0dQ8phTtvsv5HOwof2t7Kx0dscvaNpiluM-3Ny3Nk-4cWBz8jm4f5t9VSsXx6fV3frYmSC5aJiRjhXKtMZbhVjxjUaKlai7biRLShpOBesU5UyoB2rtGm0c5VpmFAaHD8j13-9Ywxf0zyl3vnksO_tgGFKNdPAlZmPMLP18mCdmh229Rj9zsZ9_f8T_wFvxmrm</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Medina, Francisco J</creator><creator>Miranda-Merchak, Andrés</creator><creator>Martínez, Alonso</creator><creator>Sánchez, Felipe</creator><creator>Bravo, Sebastián</creator><creator>Contreras, Juan Eduardo</creator><creator>Alliende, Isabel</creator><creator>Canals, Andrea</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201604</creationdate><title>Usefulness of upper gastrointestinal series to detect leaks in the early postoperative period of bariatric surgery</title><author>Medina, Francisco J ; Miranda-Merchak, Andrés ; Martínez, Alonso ; Sánchez, Felipe ; Bravo, Sebastián ; Contreras, Juan Eduardo ; Alliende, Isabel ; Canals, Andrea</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-5194cc279f93a7119cb80512eaf396d07693341f757908c1589b8cc59b14780c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Anastomotic Leak - diagnostic imaging</topic><topic>Anastomotic Leak - etiology</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Contrast Media</topic><topic>Female</topic><topic>Gastrectomy - adverse effects</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Upper Gastrointestinal Tract - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Medina, Francisco J</creatorcontrib><creatorcontrib>Miranda-Merchak, Andrés</creatorcontrib><creatorcontrib>Martínez, Alonso</creatorcontrib><creatorcontrib>Sánchez, Felipe</creatorcontrib><creatorcontrib>Bravo, Sebastián</creatorcontrib><creatorcontrib>Contreras, Juan Eduardo</creatorcontrib><creatorcontrib>Alliende, Isabel</creatorcontrib><creatorcontrib>Canals, Andrea</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista medíca de Chile</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Medina, Francisco J</au><au>Miranda-Merchak, Andrés</au><au>Martínez, Alonso</au><au>Sánchez, Felipe</au><au>Bravo, Sebastián</au><au>Contreras, Juan Eduardo</au><au>Alliende, Isabel</au><au>Canals, Andrea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Usefulness of upper gastrointestinal series to detect leaks in the early postoperative period of bariatric surgery</atitle><jtitle>Revista medíca de Chile</jtitle><addtitle>Rev Med Chil</addtitle><date>2016-04</date><risdate>2016</risdate><volume>144</volume><issue>4</issue><spage>451</spage><epage>455</epage><pages>451-455</pages><eissn>0717-6163</eissn><abstract>Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile.
To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery.
A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy.
Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%.
Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique.</abstract><cop>Chile</cop><pmid>27401376</pmid><doi>10.4067/S0034-98872016000400005</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Revista medíca de Chile, 2016-04, Vol.144 (4), p.451-455 |
| issn | 0717-6163 |
| language | spa |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Anastomotic Leak - diagnostic imaging Anastomotic Leak - etiology Bariatric Surgery - adverse effects Contrast Media Female Gastrectomy - adverse effects Humans Laparoscopy - adverse effects Male Middle Aged Obesity, Morbid - surgery Postoperative Period Prospective Studies Reproducibility of Results Sensitivity and Specificity Tomography, X-Ray Computed - methods Upper Gastrointestinal Tract - diagnostic imaging |
| title | Usefulness of upper gastrointestinal series to detect leaks in the early postoperative period of bariatric surgery |
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