A case report of septic shock and splenic abscess formation secondary to gastric band erosion: A rare complication of laparoscopic adjustable gastric banding

Lu, Victoria; Kanhere, Harsh

doi:10.1016/j.ijscr.2020.03.015

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…The referencing order of the relevant studies included in Table 2 starts from the most recently published articles first. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Grading of the reviewed evidence was based on the content of Table 3. Statistical difference significance was considered to be at P ≤ .05.…”

Section: Methodsmentioning

confidence: 99%

Splenic Abscess Complicating Bariatric Surgery : A Systematic Review

Buksh

Tallowin

Samaraee

2021

The American Surgeon™

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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.

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