Department of Minimally Invasive Surgery and Bariatric Surgery, Fundación Valle del Lili, Universidad ICESI, Av. Simón Bolívar Carrera 98, #98-49, Cali, Colombia.
Department of Radiology, Fundación Valle del Lili, Cali, Colombia.
Obes Surg. 2018 Sep;28(9):2923-2931. doi: 10.1007/s11695-018-3334-5.
Bariatric surgery has proven to be the most effective weight loss strategy in severe obesity. Imaging in the immediate postoperative period of bariatric surgery is not done routinely. However, it is helpful in the assessment of early and late complications, which are estimated to be present in < 1% of patients. In some cases, the imaging interpretation of anatomical outcomes and complications related to these procedures represents a challenge for surgeons and radiologists. The aim of this review is to describe the imagenologic findings after bariatric surgery and focuses on the findings of the most frequent procedures performed in Colombia such as laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass, and laparoscopic adjustable gastric banding. Contrasted CT scan and fluoroscopic studies have shown a high sensitivity in the early and late diagnosis of bariatric surgery complications, but in order to be able to appropriately identify these complications, it is important to be familiar with the normal or expected radiological findings.
减重手术已被证明是治疗重度肥胖症最有效的减肥策略。减重手术后的即时影像学检查并非常规进行。然而，它有助于评估早期和晚期并发症，这些并发症估计在<1%的患者中出现。在某些情况下，对与这些手术相关的解剖学结果和并发症的影像学解读对外科医生和放射科医生来说是一个挑战。本综述旨在描述减重手术后的影像学发现，并重点介绍在哥伦比亚最常进行的手术，如腹腔镜袖状胃切除术、腹腔镜胃旁路术和腹腔镜可调胃束带术的发现。对比 CT 扫描和荧光透视研究显示，在早期和晚期诊断减重手术并发症方面具有较高的敏感性，但为了能够正确识别这些并发症，熟悉正常或预期的影像学发现是很重要的。
