title: Management of acute postoperative hemorrhage in the bariatric patient.
abstract: Bariatric surgery is one of the treatment options for achieving and preserving weight loss and managing medical complications related to obesity. After bariatric surgery, early or late adverse events, such as intraluminal or extraluminal gastrointestinal hemorrhage, can occur. Early gastrointestinal bleeding is more often a complication associated with Roux-en-Y gastric bypass surgery than other bariatric procedures and usually arises from the gastrojejunal anastomosis. Early postoperative bleeding may be potentially life threatening, although death after postbariatric surgery as a consequence of acute bleeding is uncommon. Although early postoperative intraluminal bleeding can usually be managed conservatively, endoscopic therapy may be required.
authors.affiliation: Department of Medicine, Digestive Endoscopy Unit, Hospital Universitario da Universidade Federal de Juiz de Fora, Unidade de Endoscopia Digestiva-Avenida Eugenio do Nascimento s/no. Bairro: Dom Bosco - CEP:36038-330, Juiz de Fora, Minas Gerais, Brasil.
authors.forename: Lincoln E V V
authors.initials: LE
authors.lastname: Ferreira
authors.forename: Louis M Wong Kee
authors.initials: LM
authors.lastname: Song
authors.forename: Todd H
authors.initials: TH
authors.lastname: Baron
mesh_terms: D000208:Acute Disease; D050110:Bariatric Surgery / Q000009:adverse effects*; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications