SECTION 602.3. Digestive System Treatments and Procedures

(a) Cholecystectomy with or without common bile duct exploration.

(1) Pancreatitis.

(2) Injury to the tube between the liver and the bowel.

(3) Retained stones in the tube between the liver and the bowel.

(4) Narrowing or obstruction of the tube between the liver and the bowel.

(5) Injury to the bowel and/or intestinal obstruction.

(b) Bariatric surgery.

(1) Failure of wound to heal or wound dehiscence (separation of wound).

(2) Injury to organs.

(3) Failure of device requiring additional surgical procedure.

(4) Obstructive symptoms requiring additional surgical procedure.

(5) Development of gallstones (Roux-En-Y).

(6) Development of metabolic and vitamin disorders (Roux-En-Y).

(c) Pancreatectomy (subtotal or total).

(1) Pancreatitis (subtotal).

(2) Diabetes (total).

(3) Lifelong requirement of enzyme and digestive medication.

(4) Anastomotic leaks.

(d) Total colectomy.

(1) Permanent ileostomy.

(2) Injury to organs.

(3) Infection.

(e) Subtotal colectomy.

(1) Anastomotic leaks.

(2) Temporary colostomy.

(3) Infection.

(4) Second surgery.

(5) Injury to organs.

(f) Hepatobiliary drainage/intervention including percutaneous transhepatic cholangiography, percutaneous biliary drainage, percutaneous cholecystostomy, biliary stent placement (temporary or permanent), biliary stone removal/therapy.

(1) Leakage of bile at the skin site or into the abdomen with possible peritonitis (inflammation of the abdominal lining and pain or if severe can be life threatening).

(2) Pancreatitis (inflammation of the pancreas).

(3) Hemobilia (bleeding into the bile ducts).

(4) Cholangitis, cholecystitis, sepsis (inflammation/infection of the bile ducts, gallbladder or blood).

(5) Pneumothorax (collapsed lung) or other pleural complications (complication involving chest cavity).

(g) Gastrointestinal tract stenting.

(1) Stent migration (stent moves from location in which it was placed).

(2) Esophageal/bowel perforation (creation of a hole or tear in the tube from the throat to the stomach or in the intestines).

(3) Tumor ingrowth or other obstruction of stent.

(4) For stent placement in the esophagus (tube from the throat to the stomach).

(A) Tracheal compression (narrowing of windpipe) with resulting or worsening of shortness of breath.

(B) Reflux (stomach contents passing up into esophagus or higher).

(C) Aspiration pneumonia (pneumonia from fluid getting in lungs) (if stent in lower part of the esophagus).

(D) Foreign body sensation (feeling like there is something in throat) (for stent placement in the upper esophagus).

Source Note: The provisions of this §602.3 adopted to be effective December 26, 2023, 48 TexReg 7985