Key result
Contrast-enhanced MDCT successfully diagnosed complications in 113 of 129 symptomatic patients following bariatric surgery, demonstrating a statistically significant difference compared to UGIS.
Why the study?
The study was conducted to assess the role of contrast-enhanced multidetector computed tomography in evaluating symptomatic patients after laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.
Does contrast-enhanced MDCT improve the diagnosis of complications compared to UGIS in symptomatic patients after bariatric surgery?
Observational (n=129)
Does contrast-enhanced MDCT improve the diagnosis of complications compared to UGIS in symptomatic patients after bariatric surgery?
Contrast-enhanced MDCT is highly effective for diagnosing early and late complications in symptomatic patients following bariatric surgery, outperforming UGIS.
Contrast-enhanced MDCT detects post-bariatric complications; hypothesis-generating and requires prospective validation before routine adoption.
Background To assess the role of contrast-enhanced multidetector computed tomography (MDCT) in the assessment of symptomatic patients following laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. Results We reviewed the studies of 129 cases and found complications in 113 patients: 55 early complications and 48 late complications. All of these complications were diagnosed with intravenous contrast-enhanced MDCT. Statistically significant difference was found between UGIS and MDCT in the diagnosis of many cases. Conclusion The rate of complications in bariatric surgery is high and the associated mortality is not negligible. The interpreting radiologists should know the normal postoperative findings and be aware of possible complications.
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Bassiouny et al. (2020) conducted an observational in Symptomatic patients following laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy (n=129). Contrast-enhanced multidetector computed tomography (MDCT) vs. Upper gastrointestinal series (UGIS) was evaluated on Diagnosis of complications. Contrast-enhanced MDCT successfully diagnosed complications in 113 of 129 symptomatic patients following bariatric surgery, demonstrating a statistically significant difference compared to UGIS.
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