scholarly journals Late Complication of Laparoscopic Sleeve Gastrectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Anthony Dakwar ◽  
Ahmad Assalia ◽  
Iyad Khamaysi ◽  
Yoram Kluger ◽  
Ahmad Mahajna
Keyword(s):  
Morbid Obesity ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Staple Line ◽  
Low Cost ◽  
Late Complication ◽  
Safe Procedure ◽  
Significant Weight Loss ◽  
Staple Line Leak ◽  
Short Period

Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is a simple, low-cost procedure resulting in significant weight loss within a short period of time. LSG is a safe procedure with a low complication rate. The complications encountered nevertheless can result in morbidity and even mortality. The most significant complications are staple-line bleeding, stricture, and staple-line leak. The purpose of this paper is to present a patient who suffered from a staple-line leak presenting 16 months after LSG. Review of the current literature regarding this complication as well as outline of a strategy for the management of post-LSG gastric leaks is suggested.

scholarly journals Mind the Gap: Successful Endoscopic Closure of a Large Gastric Sleeve Leak Using an Endoscopic Stent and Over-the-Scope Clips

2017 ◽  
Vol 11 (3) ◽  
pp. 763-768 ◽  
Author(s):  
Jiannis Anastasiou ◽  
Anas Hussameddin ◽  
Abdulaziz Al Quorain 
Keyword(s):  
Staple Line ◽  
Low Cost ◽  
Safe Procedure ◽  
Significant Morbidity ◽  
Significant Weight Loss ◽  
Endoscopic Stent ◽  
Staple Line Leak ◽  
Endoscopic Closure ◽  
Short Period ◽  
Gastric Sleeve Leak

Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is regarded as a simple, low-cost procedure achieving significant weight loss within a short period of time. LSG is considered a safe procedure with a relatively low complication rate. The complications encountered nevertheless can result in significant morbidity and may even be lethal. The most significant complications are staple-line bleeding, stricture, and staple-line leak. The purpose of this paper is to present a case of a 31-year-old patient complicated by a 3.06 cm staple-line leak 10 days after LSG. Review of the current literature regarding this complication as well as outline of a strategy for the management of large post-LSG gastric leaks is suggested.

scholarly journals Laparoscopic Gastric Plication for the Treatment of Morbid Obesity: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Michael Kourkoulos ◽  
Emmanouil Giorgakis ◽  
Charalampos Kokkinos ◽  
Theodoros Mavromatis ◽  
John Griniatsos ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Current Literature ◽  
Case Reports ◽  
Low Cost ◽  
Prosthetic Material ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication

Introduction. Laparoscopic greater curvature plication is an operation that is gaining ground in the treatment of morbid obesity, as it appears to replicate the results of laparoscopic sleeve gastrectomy with fewer complications.Aim. Review of current literature, especially results on weight loss and complications.Method. 11 (eleven) published articles on laparoscopic gastric plication, of which 1 preclinical study, 8 prospective studies for a total of 521 patients and 2 case reports of unusual complications.Results. Reported Paracentage of EWL in all studies is comparable to Laparoscopic Sleeve Gastrectomy (around 50% in 6 months, 60–65% in 12 months, 60–65% in 24 months) and total complication rate is at 15,1% with minor complications in 10,7%, major complications in 4,4%. Reoperation rate was 3%, conversion rate was 0,2%, and mortality was zero.Conclusion. Current literature on gastric plication and its modifications is limited and sketchy at times. Low cost, short hospital stay, absence of prosthetic material, and reversibility make it an attractive option. Initial data show that LGCP is effective for short- and medium-term weight loss, complication and reoperation rates are low, and GERD symptoms are unaffected. More data is required, and randomized control trials must be completed in order to reach safe conclusions.

scholarly journals Acute paraoesophageal hiatal hernia following laparoscopic sleeve gastrectomy

2020 ◽  
Vol 7 (12) ◽  
pp. 4177
Author(s):  
Omar M. Alobaid ◽  
Abdullah S. Alzahrani ◽  
Bander I. Ali
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Hiatal Hernia ◽  
Independent Risk Factor ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Significant Weight Loss ◽  
Operative Endoscopy

Anti-obesity surgery is the most effective therapy available for significant weight loss in patients with morbid obesity. Obesity in consider a major independent risk factor for Hiatal hernia (HH) and it is present in about 37%-50% of morbidly obese patients undergoing bariatric surgery.1,2,3 It might be overlooked or under looked especially if the patient was asymptomatic and no pre-operative endoscopy or radiological workup. Denovo closure of the hiatal defect in case of an intraoperative finding of HH strongly recommended preventing such acute postoperative complications. Herein we report a rare and acute post laparoscopic sleeve gastrectomy with gastric herniation were uneventfully diagnosed and interfered early to prevent a catastrophic outcome.  

scholarly journals Immunosuppressant-induced late acute pancreatitis after laparoscopic sleeve gastrectomy: a case report and literature review

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Awadh AlQahtani ◽  
Mohammed N Alali ◽  
Safaa Allehiani
Keyword(s):  
Acute Pancreatitis ◽  
Sleeve Gastrectomy ◽  
Synergistic Effect ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Late Complication ◽  
Late Complications ◽  
Safe Procedure ◽  
Threatening Condition ◽  
Risk Patients ◽  
Life Threatening

Abstract Acute pancreatitis (AP) is a serious life-threatening condition, especially in high-risk patients. Limited data exist regarding early and late complications of immunosuppressant drugs as a cause of pancreatitis, especially Tacrolimus and Mycophenolate Mofetil (MMF), after transplantation. We report a rare case of late AP secondary to immunosuppressants’ synergistic effect after 5 years of renal transplant in an obese patient on day 4 after laparoscopic sleeve gastrectomy (LSG). We present a 41-year-old Saudi obese male patient, known to have multiple comorbidities and a renal transplantation twice, was on multiple medications, including Prednisolone, MMF and Tacrolimus for 5 years. On day 4 post-LSG, he developed severe epigastric abdominal pain and was diagnosed to have AP as a late complication of immunosuppressants’ synergistic effect. LSG is a common safe procedure, but complications related to medical illnesses or medications can occur. Careful review and sufficient knowledge of early and late complications are required.

scholarly journals Endoscopic Management of Gastro-colic Fistula Following Leak from Laparoscopic Sleeve Gastrectomy

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Staple Line ◽  
Fistulous Tract ◽  
Balloon Dilation ◽  
Endoscopic Management ◽  
Oral Contrast ◽  
Imaging Studies ◽  
Staple Line Leak ◽  
Upper Abdominal

Laparoscopic sleeve gastrectomy (LSG) is a restrictive bariatric procedure effective for the management of morbid obesity. Staple line leak is the most feared complication after LSG and can present early or late following operation. Untreated, chronic staple line leak (>12 weeks) can lead to abscess formation, which in turn form a fistulous tract to adjacent epithelial lined structures. Herein, we present a case of gastro-colic fistula following leak from LSG treated at our department. A 49 years old male patient, presented 14 weeks after LSG to our emergency department with fever and upper abdominal pain. Imaging studies revealed intra-abdominal abscess between the stomach and the spleen with oral contrast leakage into the abscess cavity. An endoscopic evaluation revealed a fistula distal to the gastro-esophageal junction. Endoscopic management of the fistula done by over the scope clip (OTSC), which later failed. The patient re-admitted 12 weeks later and re-imaging studies showed a gastro-colic fistula and distal stenosis of the gastric sleeve. Endoscopic treatment was completed by OTSC closure of the fistula opening on the stomach side and hem clip closure of the fistula opening on the colon side. Also, fluoroscopically-guided endoscopic balloon dilation was done to treat distal stenosis. At 30 months follow up, the patient is doing well.

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