Bariatric Sugery Complications ============================== þ If abd pain or complaints within a week, consult surg right away: ? anastomic leak. Gastric outlet obstruction: CT with small amount (300 mL) of oral contrast and wait for 3 hours NG tube: not in ED acutely in first 6 months after surgery Band migration: may erode into stomach, get peritoneal signs Stomal stenosis: later: early satiety, unable to eat, pica PE in 2% within 6 months: go directly to CT? Very similar to anastomotic leak, and 20% with classic PE sx had anastomic leak: do initial assessment, call surgeon, but "have to PE scan, do you want me to scan through the belly" dumping syndrome: nausea, vasomotor sx, flushing - after eating; ocreotide effective. Wernicke's encephalopathy - important that they keep taking thiamine.