16/10/2025
Negative complication of bariatric surgery
Negative complications of bariatric surgery can include immediate risks like bleeding, infection, and blood clots, as well as long-term issues such as nutritional deficiencies, dumping syndrome, stomach ulcers, and internal hernias. Other complications can include hair loss, difficulty swallowing (dysphagia), gallstones, and GERD, with some complications requiring further intervention.
Immediate complications
Bleeding: Can range from minor to severe, sometimes requiring emergency surgery.
Infection: May involve the wound, abdominal area, or lead to pneumonia.
Blood Clots: Including deep vein thrombosis (DVT) and pulmonary embolism, which can be life-threatening.
Anastomotic leak: A leak at the surgical connection point, which can cause severe abdominal pain and fever.
Anesthetic complications: Risks associated with the anesthesia used during the operation.
Wound problems: Such as infection or separation of the incision (fascial dehiscence).
Long-term complications
Nutritional deficiencies: Especially iron, vitamin B12, and other vitamins due to malabsorption.
Dumping syndrome: A condition where food moves too quickly from the stomach to the small intestine, causing symptoms like lightheadedness, cramping, nausea, vomiting, and diarrhea.
Stomach ulcers: Painful sores that can form in the lining of the stomach or intestine.
Internal hernias: Occur when tissue protrudes through a weak spot in the surrounding tissue, a risk particularly with some types of bypass surgery.
Difficulty swallowing (Dysphagia): A restriction in the digestive system can make it hard to swallow food.
Gastroesophageal reflux disease (GERD): Can be worsened by some procedures like the gastric sleeve, though it may improve with others like gastric bypass.
Gallstones: A risk that can develop after rapid weight loss.
Hair loss: Common during the period of rapid weight loss, often due to nutritional imbalances.
Other potential issues
Food intolerances: Changes in taste or an inability to tolerate certain foods, sometimes lasting for weeks or months.
Loose skin: A common cosmetic issue resulting from significant weight loss.