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Michael A. Schweitzer, MD

Arch Surg. 2007;142(10):934.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Upper gastrointestinal series (UGI) after gastric bypass has been assumed by some surgeons to be a reliable enough study that all postoperative patients should undergo it before leaving the hospital. They also hold on to the belief that the study is worth doing on all patients even if it will pick up just 1 leak that they did not suspect because a leak is 1 of the top 2 causes of mortality after gastric bypass surgery. The article by Kolakowski et al brings to light that this test fails to find leaks that were not already suspected by clinical findings. In fact, all patients with a leak had clinical symptoms in this series. A combination of sustained tachycardia (pulse rate, >120 beats/min), respiratory distress, and fever was seen in 7 of the 8 patients who had a leak. Only 1 patient without a leak had all . . . [Full Text of this Article]

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Routine Postoperative Upper Gastrointestinal Series After Roux-en-Y Gastric Bypass: Determination of Whether It Is Necessary
Stephen Kolakowski, Jr, Matt L. Kirkland, and Alan L. Schuricht
Arch Surg. 2007;142(10):930-934.
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