Analysis of Morbidity Data of 308 Cases of Laparoscopic Sleeve Gastrectomy—the Soroka Experience

Abstract

Primary LSG is a safe and efficient bariatric procedure. After failed LAGB, secondary LSG should be carefully considered, because of a potentially higher risk of complications.

Endoscopic Biological Glue Injection for Treating Multiple Staple-Line Leaks and Dehiscence Following Laparoscopic Sleeve Gastrectomy – A Case Report and Review of the Literature

“…Although regarded as a relatively safe operation, LSG may harbor an overall complication rate of up to 20% [5,6]. Leaks are probably the most dreaded complication carrying a substantial risk to patients and presenting a great therapeutic challenge to physicians.…”

“…Possible explanations may include decreased blood-supply to this portion of the sleeve hampering healing, thinner wall, or decreased surgical access and visualization before stapling because of the anatomical structure. Additional risk factors for leak development include inadequate sleeve-sizing, the presence of a stricture, local infection or ischemia, and performing the operation secondarily, following a previous bariatric procedure [1,2,4,5,10].…”

“…Overall complication rates following LSG may reach approximately 20% [5,6], including staple-line disruption and leakage, bleeding, stricture, and gastro-esophageal reflux [1,[5][6][7]. Leaks are probably the most feared complication following LSG, with the majority occurring near the gastroesophageal junction (GEJ) [2,8,9].…”

“…Leaks are probably the most feared complication following LSG, with the majority occurring near the gastroesophageal junction (GEJ) [2,8,9]. Additional risk factors for leak development include inadequate sleeve-sizing, the presence of a stricture, local infection or ischemia, and performing the operation secondarily, following a previous bariatric procedure [1,2,4,5,10].…”

Laparoscopic Adjustable Gastric Band: Complications, Removal and Revision in a Portuguese Highly Differentiated Obesity Treatment Center

“…22 Actually, evidence on long term outcomes is being published more consistently now, resulting from its increasing use (in Europe, from 2008 to 2011, the number of SG done increased 571.8%) 14 and longer follow-up times. 23,24 RWLS is undoubtedly more challenging than primary surgery. 25,26 In our study, the removal and RWLS in the LAGB group was performed using a single-stage approach, except in one case.…”