Gastric Stenosis After Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients

Overview

Journal Obes Surg

Date 2013 Apr 23

PMID 23604695

Citations 35

Authors

Ana Maria Burgos

Attila Csendes

Italo Braghetto

Affiliations

Soon will be listed here.

Abstract

Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. The objective of this study is to describe a series of patients who were subjected to LSG and then developed gastric stenosis, with an emphasis on their treatment and a discussion of the possible underlying mechanisms. From January 2006 to October 2012, 717 patients with morbid obesity underwent LSG in our institution. Out of 717 patients, 571 (79.6 %) were women. The mean age was 36.9 years with a BMI of 37.3 kg/m(2). Five patients (0.69 %) developed gastric stenosis. Treatment of the stenosis was endoscopic dilatations; however, one patient required a conversion to laparoscopic Roux-en-Y gastric bypass. Stenosis after LSG is rare but requires early diagnosis and treatment.

Citing Articles

3dct Conduit and Oesophageal Metrics, a Valuable Method to Diagnose Post Sleeve Gastrectomy Abnormalities.

Alhayo S, Guirgis M, Siriwardene C, Dong L, Said S, Talbot M Obes Surg. 2024; 34(11):4179-4188.

PMID: 39382766 PMC: 11541335. DOI: 10.1007/s11695-024-07528-3.

A Study of Omentum Reduction on the Improvement of Nausea and vomiting and Gastroesophageal Reflux Symptoms After Laparoscopic Gastric Sleeve Resection.

Liang L, Zhao X, Gu R, Zheng R, Sun Y, Yang H Obes Surg. 2024; 34(9):3390-3400.

PMID: 39103670 DOI: 10.1007/s11695-024-07423-x.

Challenges of Revisional Metabolic and Bariatric Surgery: A Comprehensive Guide to Unraveling the Complexities and Solutions of Revisional Bariatric Procedures.

Evans L, Castillo-Larios R, Cornejo J, Elli E J Clin Med. 2024; 13(11).

PMID: 38892813 PMC: 11172990. DOI: 10.3390/jcm13113104.

The Trajectory of Revisional Bariatric Surgery: Open to Laparoscopic to Robotic.

Jawhar N, Sample J, Salame M, Marrero K, Tomey D, Puvvadi S J Clin Med. 2024; 13(7).

PMID: 38610643 PMC: 11012271. DOI: 10.3390/jcm13071878.

Omentopexy versus no omentopexy in sleeve gastrectomy: an updated systematic review and meta-analysis.

Chaouch M, Khalfallah M, Jabra S, Jouilli M, Sallem O, Nouira R Updates Surg. 2024; 76(3):811-827.

PMID: 38530610 DOI: 10.1007/s13304-024-01794-7.

References

Chiu S, Birch D, Shi X, Sharma A, Karmali S . Effect of sleeve gastrectomy on gastroesophageal reflux disease: a systematic review. Surg Obes Relat Dis. 2010; 7(4):510-5. DOI: 10.1016/j.soard.2010.09.011. View

Cottam D, Qureshi F, Mattar S, Sharma S, Holover S, Bonanomi G . Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006; 20(6):859-63. DOI: 10.1007/s00464-005-0134-5. View

. Gastrointestinal surgery for severe obesity. Consens Statement. 1991; 9(1):1-20. View

Lacy A, Ibarzabal A, Obarzabal A, Pando E, Adelsdorfer C, Delitala A . Revisional surgery after sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010; 20(5):351-6. DOI: 10.1097/SLE.0b013e3181f62895. View

Csendes A, Burdiles P, Papapietro K, Diaz J, Maluenda F, Burgos A . Results of gastric bypass plus resection of the distal excluded gastric segment in patients with morbid obesity. J Gastrointest Surg. 2004; 9(1):121-31. DOI: 10.1016/j.gassur.2004.05.006. View

Csendes A, Burgos A, Smok G, Beltran M . Endoscopic and histologic findings of the foregut in 426 patients with morbid obesity. Obes Surg. 2007; 17(1):28-34. DOI: 10.1007/s11695-007-9002-9. View

Fuks D, Dumont F, Berna P, Verhaeghe P, Sinna R, Sabbagh C . Case report-complex management of a postoperative bronchogastric fistula after laparoscopic sleeve gastrectomy. Obes Surg. 2008; 19(2):261-264. DOI: 10.1007/s11695-008-9643-3. View

Sjostrom L, Lindroos A, Peltonen M, Torgerson J, Bouchard C, Carlsson B . Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004; 351(26):2683-93. DOI: 10.1056/NEJMoa035622. View

Csendes A, Braghetto I, Leon P, Burgos A . Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010; 14(9):1343-8. DOI: 10.1007/s11605-010-1249-0. View

10.

Sudan R, Kasotakis G, Betof A, Wright A . Sleeve gastrectomy strictures: technique for robotic-assisted strictureplasty. Surg Obes Relat Dis. 2010; 6(4):434-6. DOI: 10.1016/j.soard.2010.05.009. View

11.

Frezza E, Reddy S, Gee L, Wachtel M . Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2008; 19(6):684-7. DOI: 10.1007/s11695-008-9677-6. View

12.

Bellorin O, Lieb J, Szomstein S, Rosenthal R . Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass for acute gastric outlet obstruction after laparoscopic sleeve gastrectomy for morbid obesity. Surg Obes Relat Dis. 2010; 6(5):566-8. DOI: 10.1016/j.soard.2010.05.019. View

13.

Mui W, Ng E, Tsung B, Lam C, Yung M . Laparoscopic sleeve gastrectomy in ethnic obese Chinese. Obes Surg. 2008; 18(12):1571-4. DOI: 10.1007/s11695-008-9538-3. View

14.

Eubanks S, Edwards C, Fearing N, Ramaswamy A, de la Torre R, Thaler K . Use of endoscopic stents to treat anastomotic complications after bariatric surgery. J Am Coll Surg. 2008; 206(5):935-8. DOI: 10.1016/j.jamcollsurg.2008.02.016. View

15.

Santoro S . Technical aspects in sleeve gastrectomy. Obes Surg. 2008; 17(11):1534-5. DOI: 10.1007/s11695-008-9417-y. View

16.

Braghetto I, Csendes A, Korn O, Valladares H, Gonzalez P, Henriquez A . Gastroesophageal reflux disease after sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010; 20(3):148-53. DOI: 10.1097/SLE.0b013e3181e354bc. View

17.

Burgos A, Braghetto I, Csendes A, Maluenda F, Korn O, Yarmuch J . Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg. 2009; 19(12):1672-7. DOI: 10.1007/s11695-009-9884-9. View

18.

Lalor P, Tucker O, Szomstein S, Rosenthal R . Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2007; 4(1):33-8. DOI: 10.1016/j.soard.2007.08.015. View

19.

Triantafyllidis G, Lazoura O, Sioka E, Tzovaras G, Antoniou A, Vassiou K . Anatomy and complications following laparoscopic sleeve gastrectomy: radiological evaluation and imaging pitfalls. Obes Surg. 2010; 21(4):473-8. DOI: 10.1007/s11695-010-0236-6. View

20.

Zundel N, Hernandez J, Neto M, Campos J . Strictures after laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010; 20(3):154-8. DOI: 10.1097/SLE.0b013e3181e331a6. View