VTE, pneumonia, UTI, small bowel obstruction, etc
Roux-Limb Obstruction
Nausea/vomiting, abdominal pain
Causes acute gastric dilation
Surgical emergency!
IR;decompression possible
Anastomotic Leak
Abdominal exam often non-acute due to habitus
Intra-abdominal bleeding
May bleed into GI tract and only visualized on endoscopy
Nausea/vomiting, abdominal pain
Causes acute gastric dilation
Surgical emergency!
IR;decompression possible
Abdominal exam often non-acute due to habitus
May bleed into GI tract and only visualized on endoscopy
Upper GI bleed
Resuscitate in standard fashion
Emergent endoscopy
Often bleed from staple lines, ulcers
Anastomotic Leak or Stricture
Progressive inability to tolerate PO
Abdominal pain
Solids first then liquids
Needs UGI then likely endoscopy
Marginal Ulcer
Epigastric pain and dyspepsia
Upper endoscopy
Manage with acid suppression
Internal hernia
Obstructive or nonobstructive
Crampy, intermittent abdominal pain radiating to back
Can have normal abdominal exam
May strangulate herniated bowel
Work up with CT Abdomen/pelvis and UGI
CT findings: swirl sign, intussuscepted bowel
Needs<unk>  early
Nutritional Complications
consider patients immunosuppressed due to malnourishment
Anemia, neuropathy, fractures, hypercalcemia
Wernicke's encephalopathy
Dumping syndrome
Resuscitate in standard fashion
Emergent endoscopy
Often bleed from staple lines, ulcers
Progressive inability to tolerate PO
Abdominal pain
Solids first then liquids
Needs UGI then likely endoscopy
Epigastric pain and dyspepsia
Upper endoscopy
Manage with acid suppression
Obstructive or nonobstructive
Crampy, intermittent abdominal pain radiating to back
Can have normal abdominal exam
May strangulate herniated bowel
Work up with CT Abdomen/pelvis and UGI
CT findings: swirl sign, intussuscepted bowel
Needs<unk>  early
consider patients immunosuppressed due to malnourishment
Anemia, neuropathy, fractures, hypercalcemia
Wernicke's encephalopathy
Dumping syndrome
Bariatric surgery complications
VTE, pneumonia, UTI, small bowel obstruction, etc
G-tube complications
Roux-Limb Obstruction
Pancreas transplant complications
Nausea/vomiting, abdominal pain
Insulin infusion device complications
Causes acute gastric dilation