scholarly journals Splenic abscess caused by Streptococcus anginosus following laparoscopic sleeve gastrectomy: a case report of a rare complication of bariatric surgery

2017 ◽  
Vol 2017 (4) ◽  
Author(s):  
Miguel E. Cervera-Hernandez ◽  
Dieter Pohl
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Rare Complication ◽  
Splenic Abscess ◽  
Streptococcus Anginosus

scholarly journals Gastrobronchial Fistula: A Rare Complication of Postlaparascopic Sleeve Gastrectomy—A Case Report and Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mohammed Sabawi ◽  
Alhassan Alhasson ◽  
Abdul-Rahman Abualruz ◽  
Alaa Abdulsattar Al-Taie
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Rare Complication ◽  
Standard Of Care ◽  
Gastric Leak ◽  
Contrast Study ◽  
Diagnostic Modality ◽  
Gastrobronchial Fistula

Introduction. Obesity is one of the leading causes of morbidity and mortality in countries all over the world, and its prevalence has been increasing dramatically in recent years. Bariatric surgery is considered the gold standard of care for patients who failed conservative management. Laparoscopic sleeve gastrectomy (LSG) is of increasing popularity. One of its vicious consequences is the development of acquired fistula between the stomach and the tracheobronchial tract due to intractable gastric leak. Case Report. We are presenting a case of a 25-year-old man who underwent laparoscopic sleeve gastrectomy for morbid obesity, which was complicated with the development of gastrobronchial fistula, despite an unremarkable postoperative course. Conclusion. Acquired gastrobronchial fistula due to bariatric surgery is not reported widely in radiologic literature; hence, there is lack of consensus of the diagnostic modality of choice. However, there is a myriad of tests available for diagnosing gastrobronchial fistula, with contrast study of the upper gastrointestinal tract which is the widely accepted diagnostic test.

Bronchoesophageal fistula, a rare complication post laparoscopic sleeve gastrectomy: A case report and literature review

2019 ◽  
Vol 7 (4) ◽  
pp. 167
Author(s):  
AshrafA Maghrabi ◽  
Saleh Aldagal ◽  
Abdullah Sultan ◽  
NisarHaider Zaidi ◽  
MuradM Aljiffry ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Case Report ◽  
Literature Review ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Rare Complication ◽  
Bronchoesophageal Fistula

scholarly journals Portomesenteric venous thrombosis in a prophylactically anticoagulated obese patient after laparoscopic sleeve gastrectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Feras Alsannaa ◽  
Faisal Albaqami ◽  
Mishary Shalhoub
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Small Bowel ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Bowel Ischemia ◽  
Morbidity And Mortality ◽  
Midline Laparotomy ◽  
Vein Thrombosis ◽  
Portomesenteric Vein Thrombosis

Abstract Background Obesity is associated with an increased risk of morbidity and mortality, so weight reduction is important. Bariatric surgery is a well-tolerated approach for reducing body weight, with laparoscopic sleeve gastrectomy commonly performed. An uncommon and potentially fatal sequela of laparoscopic sleeve gastrectomy is portomesenteric vein thrombosis, which may result in severe bowel ischemia. Case report A 32-year-old Middle Eastern obese man (body mass index 33) presented to the emergency department with severe, generalized abdominal pain 2 weeks after laparoscopic sleeve gastrectomy. Computed tomography of the abdomen and pelvis revealed extensive acute on chronic portosplenic and superior mesenteric vein thrombosis with associated small bowel ischemia. Laparoscopic exploration was converted to midline laparotomy and an extensive ischemic small bowel resection. Conclusion Laparoscopic sleeve gastrectomy carries a risk of both morbidity and mortality. Venous thromboembolism is a well-known risk of bariatric surgery, but portomesenteric vein thrombosis is also a rare but sometimes serious complication. A high index of suspicion for portomesenteric vein thrombosis to prompt early detection is essential in patients who have undergone laparoscopic sleeve gastrectomy to minimize complications and optimize outcomes. Uncertainty still remains around the optimal dose and duration of anticoagulation after laparoscopic sleeve gastrectomy.

scholarly journals Percutaneous embolization for a subacute gastric fistula following laparoscopic sleeve gastrectomy: a case report and literature review

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hung-Hsuan Yen ◽  
Yu-Ting Lin ◽  
Jin-Ming Wu ◽  
Kao-Lang Liu ◽  
Ming-Tsan Lin
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Fistula Tract ◽  
Gastric Leak ◽  
Gastric Fistula ◽  
Percutaneous Embolization ◽  
Endoscopic Intervention ◽  
Chronic Fistula

Abstract Background The management for subacute or chronic fistula after bariatric surgery is very complicated and with no standard protocol yet. It is also an Achilles’ heel of all bariatric surgery. The aim of this case report is to describe our experience in managing this complication by percutaneous embolization, a less commonly used method. Case presentation A 23-year-old woman with a body mass index of 35.7 kg/m2 presented with delayed gastric leak 7 days after laparoscopic sleeve gastrectomy (LSG) for weight reduction. Persistent leak was still noted under the status of nil per os, nasogastric decompression, and parenteral nutrition for 1 month; therefore, endoscopic glue injection was performed. The fistula tract did not seal off, and the size of pseudocavity enlarged after gas inflation during endoscopic intervention. Subsequently, we successfully managed this subacute gastric fistula via percutaneous fistula tract embolization (PFTE) with removal of the external drain 2 months after LSG. Conclusions PFTE can serve as one of the non-invasive methods to treat subacute gastric fistula after LSG. The usage of fluoroscopy-visible glue for embolization can seal the fistula tract precisely and avoid the negative impact from gas inflation during endoscopic intervention.

scholarly journals Splenic abscess after laparoscopic sleeve gastrectomy. A rare complication—case report and literature review

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Esam Batayyah ◽  
Waed Yaseen ◽  
Faris Alshareef
Keyword(s):  
Computed Tomography ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Splenic Abscess ◽  
Definitive Treatment ◽  
Gastric Fistula ◽  
Upper Gastrointestinal ◽  
Prompt Diagnosis

Abstract Laparoscopic sleeve gastrectomy is currently a stand-alone bariatric procedure with a low complication profile. A rare complication of leak following sleeve gastrectomy was reported in this study. Its rareness and nonspecific clinical presentation could make the diagnosis difficult and could be easily confused with leak and subdiaphragmatic abscess. A 22-year-old Saudi female with body mass index 41 underwent laparoscopic sleeve gastrectomy in 2017, presented 18 months later to emergency department complaining of fever and abdominal pain for 3 months prior to presentation. Computed tomography of abdomen revealed a large splenic abscess, upper gastrointestinal studies were unremarkable. Patient was taken for laparoscopic exploration with finding of splenic abscess and gastric fistula, splenectomy and clipping of fistula was performed. The management of splenic abscess remains controversial. Splenectomy and antibiotics have generally been the definitive treatment particularly with large multilobulated collection. Familiarity with the rare complications as splenic abscess will allow for a prompt diagnosis and treatment.

Splenic Abscess Complicating Bariatric Surgery : A Systematic Review

2021 ◽  
pp. 000313482199197
Author(s):  
Md Mahfooz Buksh ◽  
Simon Tallowin ◽  
Ahmad Al Samaraee
Keyword(s):  
Systematic Review ◽  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Splenic Abscess ◽  
Initial Operation ◽  
Management Options ◽  
Female Ratio ◽  
Objective Evidence ◽  
The Mean

Introduction Bariatric surgery has become one of the most rapidly growing subspecialty performed globally, and it has been well reported to be associated with low morbidity and mortality rates. Splenic abscess is a rare but serious complication of bariatric surgery that has not been previously systematically reviewed in the literature. Methods The authors have performed a systematic review of the evidence that has looked into the pathophysiology, clinical presentation, and the management options of splenic abscess complicating bariatric surgery. Results This systematic review has been unsurprisingly based on level-IV evidence due to the rarity of the explored condition. The final analysis included 27 relevant reported cases. The mean age was 38 years and the mean of the time interval between the initial operation and developing splenic abscess was 72 days, with the male to female ratio being 1:1.6. Laparoscopic sleeve gastrectomy was the initial operation in 85.2% of the patients. Nearly half of the patients did not have an objective evidence of local or systemic sepsis that could explain the abscess formation. Nonsurgical management was attempted in 14 patients, with 34% success rate only. Splenectomy was needed in 41.7% of the patients. No mortality was reported. Conclusions Splenic abscess is a rare and rather late but serious complication of bariatric surgery that could result in splenectomy in a relatively young group of patients. It is more commonly reported following laparoscopic sleeve gastrectomy. Early diagnosis with intervention in a timely manner is crucial to avoid life threatening complications.

scholarly journals Single Incisional Laparoscopic Sleeve Gastrectomy and Adolescent Bariatric Surgery: Case Report and Brief Review

2015 ◽  
Vol 4 (2) ◽  
pp. 40-45 ◽  
Author(s):  
Young Suk Park ◽  
Do Joong Park ◽  
Ki Hyun Kim ◽  
Dong Jin Park ◽  
Sang Hoon Ahn ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Case Report ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Adolescent Bariatric Surgery

scholarly journals Splenic Abscess after Sleeve Gastrectomy

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Rany Aoun ◽  
Michel Gabriel ◽  
Elias El Haddad ◽  
Roger Noun ◽  
Ghassan Chakhtoura
Keyword(s):  
Abdominal Pain ◽  
Sleeve Gastrectomy ◽  
Ct Scan ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Percutaneous Drainage ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Splenic Abscess ◽  
Intravenous Antibiotics

Splenic abscess is a very rare complication of laparoscopic sleeve gastrectomy (LSG). Clinical presentation includes fever, leucocystosis, and abdominal pain. CT SCAN is a must for diagnosis. The preferred treatment is either conservative, with intravenous antibiotics and percutaneous drainage, or splenectomy. We report the thirteen case of a splenic abscess after LSG. In our patient, the abscess occurred three weeks after LSG in a 21-year-old man, and it was successfully treated conservatively.

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