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J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
L
aparoscopic sleeve gastrectomy (LSG) is gaining
acceptance among bariatric surgeons as a viable option
for treating morbidly obese patients. We describe results of
a single surgeon’s experience with LSG, its intra-operative,
early and late complications and their management.
We retrospectively reviewed the data of patients who
underwent LSG from 2006 to 2015. Patients underwent
LSG as a primary procedure or as revision bariatric surgery.
The short-term morbidity and mortality were examined. All
patients entering our practice, requesting bariatric surgery,
were offered three procedure options: Laparoscopic gastric
bypass, adjustable gastric banding and LSG. After a one-
on-one consultation with the surgeon, the patients made
an informed decision to undergo LSG, and an informed
consent was obtained. All patients were required to undergo
a psychological screening, routine labs, electrocardiogram,
upper gastrointestinal x-rays, pulmonary function studies
and a medical evaluation. All patients were scheduled for
LSG as a primary definitive procedure. All patients received
intravenous antibiotics, subcutaneous unfractionated
heparin and sequential compression devices preoperatively.
One-stage LSG was performed. The major complications
were late leakage after 4 weeks, with hemorrhaging. Two
patients required reoperation and one patient was treated
conservatively. Furthermore, one patient had complete
dysphagia, and was treated conservatively. Moreover, one
patient who had an injury to the lower esophagus was re-
operated, intra-operatively. One patient had mesenteric
injury; another patient had an NG tube stapled, while a
third patient’s GE junction blew up because the balloon was
inflated while doing the leak test. In addition, the serosa layer
of 10 patients came off while firing the first stapler. However,
in spite of the presence of many such complications, only
one case was aborted. In conclusion, LSG is a relatively safe
surgical option for weight loss as a primary procedure.
e:
drrkumar31@yahoo.co.inIntraoperative, early and late complications of laparoscopic sleeve gastrectomy
Rohit Kumar
International Modern Hospital, UAE
J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-003