Correct Stapling Technique in Laparoscopic Sleeve Gastrectomy: Are We Increasing the Bleeding? A Prospective Cohort Study

Gençtürk, Mehmet; Dalkılıç, Muhammed Said; Erdem, Hasan; Yılmaz, Merih; Şişik, Abdullah

doi:10.1089/lap.2022.0584

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…The surgical treatment of obesity has seen a rise in popularity, with laparoscopic sleeve gastrectomy (LSG) being the most commonly performed bariatric surgery globally [3]. LSG offers numerous advantages, including a shorter duration of the procedure and a faster recovery, while also proving to be effective for weight loss.…”

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confidence: 99%

A Case Report of Malaria Infection Following Laparoscopic Sleeve Gastrectomy

Gençtürk,

Sarıca Cırık,

Dalkılıç

et al. 2023

Cureus

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A 41-year-old woman from the Democratic Republic of the Congo underwent laparoscopic sleeve gastrectomy (LSG) as a surgical treatment for obesity. Despite an unremarkable preoperative evaluation, the patient developed a fever and elevated C-reactive protein (CRP) levels postoperatively. Physical examination findings, laboratory tests, and imaging studies ruled out surgical complications, leading to the consideration of infectious causes. A thorough patient history revealed a residence in a malaria-endemic region with a history of recurrent malaria episodes. In addition to her complaints, the patient developed pancytopenia. The blood smear revealed the presence of ring forms of Plasmodium falciparum in red blood cells, along with other species of Plasmodium. The rapid diagnostic test (RDT) showed a positive result for the P. falciparum antigen, a negative result for the P. vivax antigen, and a positive result for the pan-antigen. Based on these findings, a mixed malaria infection was considered for the patient, and she was transferred to an advanced infectious disease hospital for specific typing and further treatment. The patient received prompt treatment and was discharged in stable condition. Malaria could potentially be among the uncommon factors leading to fever after bariatric surgery in patients from malaria-endemic countries. Surgical stress may exacerbate the course of a malaria infection.

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Section: Introductionmentioning

confidence: 99%

A Case Report of Malaria Infection Following Laparoscopic Sleeve Gastrectomy

Gençtürk,

Sarıca Cırık,

Dalkılıç

et al. 2023

Cureus

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View full text Add to dashboard Cite

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Postoperative Bleeding After Sleeve Gastrectomy

Hassan

2024

The SAGES Manual of Metabolic and Bariatric Surgery

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Clinical Management of Major Postoperative Bleeding After Bariatric Surgery

Kollmann,

Gruber,

Lock

et al. 2024

OBES SURG

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Introduction Major postoperative bleeding (mPOB) is the most common complication after bariatric surgery. Its intesity varies from self-limiting to life-threatening situations. Comprehensive decision-making and treatment strategies are mandatory but not established yet. Methods We retrospectively analyzied our prospectively collected database of our bariatric patients during 2012–2022. The primary study endpoint was major postoperative bleeding (mPOB) defined as hemoglobin drop > 2 g/dl or clinically relevant bleeding requiring intervention (transfusion, endoscopy or surgery). Secondary endpoints were overall complications according to Clavien-Dindo-Classification and comprehensive-complication-index (CCI). Results We identified 1017 patients, of whom 667 underwent gastric bypass (GB) and 350 sleeve gastrectomy (SG). Major postoperative bleeding occured in 39 patients (total 3.8%; 5.1% after GB and 2.3% after SG). Patients with mPOB were more often diagnosed with type 2 diabetes (p = 0.039), chronic kidney failure (p = 0.013) or received antiplatelet drug treatment (p = 0.003). The interval from detection to intervention within 24 h was 92.1% (35/39). Blood transfusions were necessary in 20/39 cases (total 51.3%; 45.2% after GB and 75% after SG; p = 0.046). Luminal bleeding only occured after GB (19/31; 61.3%), while all mPOB after SG were intraabdominal (p = 0.002). Reoperations were performed in 21/39 (total 53.8%; 48.4% after GB and 75% after SG; p = 0.067). CCI in patients with mPOB was 34.7 overall, with 31.2 after GB and 47.9 after SG (p = 0.005). Conclusion The clinical appearance of mPOB depends on the type of surgery with severe bleedings after SG. We suggest a surgery first approach for mPOB after SG and an endoscopy first approach after GB. Graphical Abstract

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Correct Stapling Technique in Laparoscopic Sleeve Gastrectomy: Are We Increasing the Bleeding? A Prospective Cohort Study

Cited by 5 publications

References 25 publications

A Case Report of Malaria Infection Following Laparoscopic Sleeve Gastrectomy

A Case Report of Malaria Infection Following Laparoscopic Sleeve Gastrectomy

Postoperative Bleeding After Sleeve Gastrectomy

Clinical Management of Major Postoperative Bleeding After Bariatric Surgery

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