[Verse 1]
Post-op day one, anastomosis sutured tight
But something's wrong — tachycardia in the night
Leak at the staple line, the early demon shows
Fever, left shoulder pain, peritoneal woes
CT with contrast, you confirm your suspicion
Contained or free? That determines the decision
Free perforation — theatre, don't delay
Contained leak — stent it, drain it, keep sepsis at bay
Bleeding from the staple line, check your hemoglobin
Endoscopy first, clip the vessel, stop the origin
Obstruction early — internal, adhesion, ileus
VTE prophylaxis or a clot comes to find us
Rhabdo in the bariatric patient — creatine kinase peaks
Prolonged OR time, crush the muscle as it leaks
Hydrate hard and monitor renal function close
Early complications — these are the ones that matter most
[Chorus]
Cuidado, cuidado — complicações chegando
Early leak, late hernia, nutrition fading
Stent the leak, drain the collection, watch the signs
Marginal ulcer creeping up the anastomotic lines
Cuidado — conhece o risco, fica alerta
O corpo fala — a clínica não mente, tá certa
[Verse 2]
Six weeks out — epigastric burn that won't relent
Marginal ulcer at the pouch, acid poorly spent
NSAIDs and smoking — classic risk combination
PPI therapy, endoscopy, patient education
Internal hernia — Petersen's space behind the Roux
Or the mesenteric defect, bowel threading through
Sudden cramping, intermittent — don't dismiss the pain
CT may mislead you, take them back to theatre again
Gastrogastric fistula — weight regaining steady
Remnant pouch connecting, bypass rendered empty
Stricture at the anastomosis, dysphagia presenting
Serial dilations, endoscope, the lumen needs freeing
GERD exploding after sleeve — fundus gone, no valve
Barrett's risk is real now, PPIs aren't enough
Conversion to bypass may be the answer here
Late complications — know them, they appear each year
[Bridge]
Dumping syndrome — early, late, two different beasts
Early — osmotic, volume shift, twenty minutes at least
Late hypoglycemia — reactive insulin flood
Two hours post-meal, diaphoresis, cold blood
Gallstones forming rapid after massive weight reduction
Ursodiol prophylaxis — six months, standard solution
Kidney stones from oxalate — fat malabsorption's toll
Hydration, calcium with meals — protect the renal pole
[Chorus]
Cuidado, cuidado — complicações chegando
Early leak, late hernia, nutrition fading
Stent the leak, drain the collection, watch the signs
Marginal ulcer creeping up the anastomotic lines
Cuidado — conhece o risco, fica alerta
O corpo fala — a clínica não mente, tá certa