Endoscopic management of post-bariatric foreign bodies: Dysfunctional sutures, staples, and bands

Abstract

Gastrointestinal foreign bodies in the post-bariatric surgery population may be due to ingested material or may be directly or indirectly related to the prosthetic material inserted at the time of surgery. The most common presenting symptoms are obstructive in nature, and diagnosis is usually made by upper GI series or endoscopy. Endoscopic therapy is effective in many of these situations and is often the preferred treatment approach. This chapter discusses endoscopic management of post-bariatric foreign materials, specifically, dysfunctional sutures, staples, rings, and bands.