The Radiology Partners (RP) National Quality and Safety Committee presents our newest Rad to Rad Learning case.
Peer Learning Opportunity
Bariatric surgeries have a high incidence of varied complications, such as staple line dehiscence, perforation, obstruction, vascular occlusion and postoperative volvulus.
Post-Bariatric Surgery Complications
Distinctive mesenteric vessel “swirl” visible with postoperative volvulus.

Shared to improve patient safety and healthcare delivery in the provision of radiology services. The circumstances and facts are changed, altered, or deidentified to preserve confidentiality. Privileges have not been waived.
Practical Insights 
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Particular attention should be paid to the integrity of the staple line, condition of the bowel and patency of mesenteric vessels.
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Knowledge of typical post-operative anatomy is essential for accurate interpretation.
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These studies should be performed with oral and intravenous contrast unless contraindicated.
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Recommend oral and intravenous contrast on bariatric surgery patients.
The National Quality and Safety Committee is part of RP’s Clinical Value Team, which works to elevate patient care and enhance value through innovation, collaboration and education. To advance this goal, our radiologists and advanced practice providers are committed to sharing peer learning as valuable reminders and insights about what we encounter in our day-to-day practice. Check back here and on X, LinkedIn and Instagram to see these common cases and our findings.
Visit the Clinical Resources page for more cases and to see what we’ve developed to enhance best practice recommendations, elevate image quality and patient care and update current standards throughout RP’s network of practices, all to deliver excellent radiology services to patients, referring clinicians and client partners.
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