Complications of postlaparoscopic sleeve gastric resection: review of surgical technique

Giuliani, Antonio; Romano, Lucia; Papale, Eleonora; Puccica, Ilaria; Furia, M.; Salvatorelli, Andrea; Cianca, Giovanni; Schietroma, M; Amicucci, Gianfranco

doi:10.23736/s0026-4733.19.07883-0

Cited by 19 publications

(14 citation statements)

References 31 publications

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“…The advantages are that it does not change the physiologic state of the gastrointestinal tract and does not interfere with the normal digestion and absorption process of food. Therefore, common postoperative complications include fistula at the closed gastric margin and blood oozing at the gastric margin [ 22 ], but nutrient deficiency is relatively rare.…”

Section: Discussionmentioning

confidence: 99%

The Correlation Between RDW, MPV and Weight Indices After Metabolic Surgery in Patients with Obesity and DM/IGR: Follow-Up Observation at 12 Months

et al. 2020

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Introduction Red blood cell distribution width (RDW) and mean platelet volume (MPV) are both new biomarkers for the prognosis of many diseases. This study aimed to observe the predictive values of RDW and MPV for weight loss after different metabolic surgeries in patients with obesity and abnormal glucose metabolism [diabetes mellitus or impaired glucose regulation (DM/IGR)]. Methods We retrospectively analyzed the body weight (BW), body mass index (BMI) and blood routine index of 98 patients with obesity and DM/IGR who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). Results Levels of RDW and MPV in both groups were significantly higher than before 1 month after surgery and then gradually decreased. Twelve months after surgery, the RDW level in the RYGB group was significantly lower than that before surgery. In the RYGB group, the RDW level of patients in the high-level percentage weight loss (%BW) (≥ 31.90) at 6 and 12 months after surgery decreased significantly compared to those in the corresponding low level. %BW and change in BW and BMI (ΔBW and ΔBMI) at 6 and 12 months after surgery in the high-level RDW (≥ 12.90) before surgery were significantly higher than those in the low level in the RYGB group. No significant difference in weight index was found in the high and low levels of the MPV before surgery in either group at other follow-up time points. Conclusions Preoperative baseline RDW and postoperative RDW levels can preliminarily predict the effect of different metabolic surgeries in patients with obesity and DM/IGR.

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Section: Discussionmentioning

confidence: 99%

The Correlation Between RDW, MPV and Weight Indices After Metabolic Surgery in Patients with Obesity and DM/IGR: Follow-Up Observation at 12 Months

et al. 2020

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“…Gastric leakage is one of the most hesitated complications. Numerous maneuvers have been suggested to decrease the incidence of leak intraoperatively [15] . Another discussion is in the reinforcement of the staple line.…”

Section: Discussionmentioning

confidence: 99%

Technical details of laparoscopic sleeve gastrectomy

Aktokmakyan¹,

Gungor²,

Sümer³

2020

MIS

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Obesity is an expanding threat globally. Several surgical procedures have been developed to achieve the best outcomes in obesity. One of them is laparoscopic sleeve gastrectomy that was first applied in 1999 to initiate weight loss in overweight patients. Laparoscopic sleeve gastrectomy is a restrictive bariatric technique consisting of subtotal partial vertical gastrectomy with the preservation of the pylorus, and a gastric tube is created as a continuation of the esophagus along the lesser curvature with the resection of the fundus, corpus, and antrum. Although this technique is routinely-applied all over the world, the technical details are still controversial. This review aims to define the tips and tricks for the sleeve gastrectomy technique and discuss the controversial subjects in this technique.

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“…Histologically, the mucosa does not present alterations that deepen in muscularis, there are no signs of inflammation or injury of acid-related. The age-related atrophy of the gastrointestinal mucosa of the pieces can be a predisposing factor in the development of Dieulafoy ulcer, there are contrary opinions agree on the role of alcohol and the use of NSAIDs in the pathogenesis of this lesion [6,8].…”

Section: Discussionmentioning

confidence: 99%

Rare case of upper gastrointestinal bleeding: Dieulafoy’ s lesion of duodenum. A case report

Pessia

Romano

Giuliani

et al. 2019

Annals of Medicine and Surgery

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Dieulafoy's lesion is an uncommon but important cause of recurrent upper gastrointestinal bleeding. Extragastric location of Dieulafoy's lesion is rare. We report a case of haemorrhagic shock due to delafoy ulcer of the duodenum. After the failure of endoscopic haemostatic treatment, and due to the hemodynamic instability, the patient was not a candidate for transarterial embolization, the emergency surgery was needed to stop the bleeding. Using minimally invasive technique, we were able to avoid radical surgery, in critical patient would have high mortality rate. Aggressive endoscopic examinations combined with the accurate treatment endoscopic, or after the failure of this, in cases of severe hemorrhagic shock, surgical approach should be adopted when Dieulafoy-like lesion is suspected as a possible cause of upper GI haemorrhage.

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Complications of postlaparoscopic sleeve gastric resection: review of surgical technique

Cited by 19 publications

References 31 publications

The Correlation Between RDW, MPV and Weight Indices After Metabolic Surgery in Patients with Obesity and DM/IGR: Follow-Up Observation at 12 Months

The Correlation Between RDW, MPV and Weight Indices After Metabolic Surgery in Patients with Obesity and DM/IGR: Follow-Up Observation at 12 Months

Technical details of laparoscopic sleeve gastrectomy

Rare case of upper gastrointestinal bleeding: Dieulafoy’ s lesion of duodenum. A case report

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