dc.contributor.author | Sandvik, Jorunn | |
dc.contributor.author | Hole, Torstein | |
dc.contributor.author | Kløckner, Christian | |
dc.contributor.author | Kulseng, Bård Eirik | |
dc.contributor.author | Wibe, Arne | |
dc.date.accessioned | 2019-02-14T08:45:26Z | |
dc.date.available | 2019-02-14T08:45:26Z | |
dc.date.created | 2018-04-26T11:39:23Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Obesity Surgery. 2018, 28 (9), 2609-2616. | nb_NO |
dc.identifier.issn | 0960-8923 | |
dc.identifier.uri | http://hdl.handle.net/11250/2585366 | |
dc.description.abstract | Abstract Introduction Acute, intermittent, and chronic abdominal pain is a common complaint after Roux-en-Y gastric bypass (RYGB). Objectives The aimof the study was to evaluate the use of medical imaging and the need for surgery treating abdominal pain after RYGB in a cohort with long-term follow-up. Methods Data from 569 patients who underwent RYGB as the primary bariatric procedure at a public hospital in Norway between April 2004 and June 2011 were prospectively registered in a local quality registry for bariatric surgery. All abdominal imaging and abdominal surgical procedures were registered until August 2017. Results Mean follow-up was 100 months (61–159). During the observation period, 22% had one CT, 9% had two CTs, 4% had three CTs, and 5% had four or more CTs for abdominal pain. Twenty-two percent underwent abdominal surgery, as 16% had one and 6% had two or more operations and gynecological procedures excluded. The purpose of operation was postoperative complications (1.4%), suspected internal herniation (9.3%), cholecystectomy (9.3%), appendectomy (2.3%), hernias (3.2%), and perforated ulcer in the gastrojejunal anastomosis (0.7%). Mean time interval was 42 ± 27 months from RYGB to cholecystectomy and 51 ± 26 months for suspected IH. Conclusion With a mean follow-up period of more than 8 years after RYGB, 40% of the patients suffered from abdominal pain, needing one or more CT scans. The need for surgery treating suspected internal hernia and cholecystectomy was equal, at 9.3% for both procedures, but the mean time from RYGB to operation was shorter for cholecystectomies. Keywords Roux-en-Y gastric bypass . RYGB . Abdominal pain . CT . Internal herniation . Cholecystectomy . Gallbladder disease . Postbariatric | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | Springer Verlag | nb_NO |
dc.relation.uri | https://rdcu.be/KIAn | |
dc.title | High-Frequency of Computer Tomography and Surgery for Abdominal Pain After Roux-en-Y Gastric Bypass | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | acceptedVersion | nb_NO |
dc.source.pagenumber | 2609-2616 | nb_NO |
dc.source.volume | 28 | nb_NO |
dc.source.journal | Obesity Surgery | nb_NO |
dc.source.issue | 9 | nb_NO |
dc.identifier.doi | 10.1007/s11695-018-3223-y | |
dc.identifier.cristin | 1581805 | |
dc.description.localcode | This is a post-peer-review, pre-copyedit version of an article published in [Obesity Surgery] Locked until 4.4.2019 due to copyright restrictions. The final authenticated version is available online at: https://doi.org/10.1007/s11695-018-3223-y | nb_NO |
cristin.unitcode | 194,65,15,0 | |
cristin.unitcode | 194,65,25,0 | |
cristin.unitcode | 194,67,40,0 | |
cristin.unitname | Institutt for klinisk og molekylær medisin | |
cristin.unitname | Institutt for sirkulasjon og bildediagnostikk | |
cristin.unitname | Institutt for psykologi | |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 1 | |