title: [Management of complications in bariatric surgery].
abstract: Bariatric surgery is known to be the most effective and long-lasting treatment for morbid obesity and associated comorbidities. These comorbidities together with cardiopulmonary decompensation make morbidly obese patients a high risk group for operative interventions. Early detection of postoperative complications is a challenging task in these patients and requires accurate and timely interpretation of any alarm signals. Symptoms, such as tachycardia and abdominal pain are highly suspicious. The same applies to elevated inflammatory parameters and fever. Early diagnostic laparoscopy is mandatory once cardiopulmonary complications have been excluded. Moreover, it has a higher sensitivity and specificity than other radiological modalities and is a minimally invasive procedure with a highly satisfactory outcome.
authors.affiliation: Chirurgische Klinik, Krankenhaus Sachsenhausen, Schulstr. 31, 60594, Frankfurt am Main, Deutschland, rweiner@khs-ffm.de.
authors.forename: R A
authors.initials: RA
authors.lastname: Weiner
authors.forename: C
authors.initials: C
authors.lastname: Stroh
authors.forename: I
authors.initials: I
authors.lastname: El-Sayes
authors.forename: M
authors.initials: M
authors.lastname: Frenken
authors.forename: S
authors.initials: S
authors.lastname: Theodoridou
authors.forename: O
authors.initials: O
authors.lastname: Scheffel
authors.forename: S
authors.initials: S
authors.lastname: Weiner
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D015992:Body Mass Index; D042241:Early Diagnosis; D005260:Female; D005858:Germany; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D011785:Quality Assurance, Health Care; D012086:Reoperation; D012189:Retrospective Studies; D013610:Tachycardia / Q000175:diagnosis / Q000209:etiology