Gastric Bypass

 Leak:

• Incidence: ~1%
• Occurrence: 2 days to 2 weeks out
• Presentation: pain, fever, tachycardia
• Treatment: EGD stenting and sututuring or laparoscopic drainage or revision

Anastamotic Stricture:

• Incidence: ~1-3%
• Occurrence: 2 weeks to 3 months out
• Presentation: dysphagia, pain, vomiting
• Treatment: EGD dilation or laparoscopic revision

Ulcer:

• Incidence: ~1-3%
• Occurrence: 1 month to years out
• Presentation: pain, GI bleed
• Treatment: Acid suppression medication or laparoscopic revision

Obstruction:

• Incidence: ~4%
• Occurrence: 1 month to years out
• Presentation: pain, vomiting
• Treatment: laparoscopic repair

Gastric Sleeve

Leak:

• Incidence: ~1%
• Occurrence: 2 days to 4 weeks out
• Presentation: pain, fever, tachycardia
• Treatment: EGD stenting or laparoscopic drainage or revision

Stricture:

• Incidence: ~1%
• Occurrence: 1 month to years out
• Presentation: pain, vomiting
• Treatment: EGD dilation or laparoscopic revision

Note: all weight loss procedures have elevated risk of preoperative pulmonary embolism and myocardial infarction