Post-Bariatric Splenic Complications; Diagnosis and Treatment. A Systematic Review

Mousavimaleki, Ali; Amr, Bassem; Taherzadeh, Mahsa; Rokhgireh, Samaneh; Setaredan, Seyed Amin; Kermansaravi, Mohammad

doi:10.1007/s11695-022-06190-x

OBES SURG

2022

DOI: 10.1007/s11695-022-06190-x

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Post-Bariatric Splenic Complications; Diagnosis and Treatment. A Systematic Review

Ali Mousavimaleki

Bassem Amr

Mahsa Taherzadeh

et al.

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2024

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Cited by 2 publications

References 41 publications

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Splenic artery pseudoaneurysm rupture post-laparoscopic sleeve gastrectomy

Babic,

Ramachandran

2024

Journal of Surgical Case Reports

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A splenic artery pseudoaneurysm (SAP) is a rare vascular entity that is becoming increasingly recognized as a potential complication of bariatric surgery. This is a case of a 36-year-old woman brought by ambulance to a regional emergency department with abdominal pain, collapse, and gross haemodynamic instability 2 years post-laparoscopic sleeve gastrectomy. She received aggressive resuscitation in the emergency department but could not be stabilized and so underwent an emergency laparotomy. Intra-operatively, she was found to have a ruptured SAP with active bleeding, which was managed with a splenectomy. A high index of suspicion is required in any patient presenting with abdominal pain and circulatory collapse in the context of previous bariatric surgery. In rural or regional settings without immediate access to interventional radiology services, the most appropriate management option will almost invariably be an emergency laparotomy and splenectomy due to the risk of deterioration during patient transfer.

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Splenic artery pseudoaneurysm rupture post-laparoscopic sleeve gastrectomy

Babic,

Ramachandran

2024

Journal of Surgical Case Reports

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Rare Complications Following Laparoscopic Sleeve Gastrectomy

Belluzzi,

Sample,

Marrero

et al. 2024

JCM

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Metabolic and bariatric surgery (MBS) is the most effective and durable therapeutic intervention for patients with obesity. In recent years, laparoscopic sleeve gastrectomy (SG) has become the most commonly performed primary MBS procedure owing to its technical feasibility and excellent short-term outcomes. Despite these favorable results and perceived advantages, SG is associated with several unique complications. Complications such as a postoperative leak or bleeding have been more commonly observed and reported than others, and their management approaches are well described. However, other complications following SG are far less familiar to surgeons, which may delay recognition and result in poor patient outcomes. Of these complications, we describe splenic injuries; esophageal perforation; staple line malformations; stapling of intraluminal devices; phytobezoar formation; gastro-colic, gastro-pleural and gastro-bronchial fistula; pancreatic leak; and portomesenteric venous thrombosis. It is paramount for surgeons to be aware of these underreported issues and have the resources to learn how to recognize and manage them when they arise. This review aims to describe rare (i.e., reported incidence <1%) and underdescribed complications after SG, focusing on causes, clinical presentation, prevention strategies, and management.

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Post-Bariatric Splenic Complications; Diagnosis and Treatment. A Systematic Review

Cited by 2 publications

References 41 publications

Splenic artery pseudoaneurysm rupture post-laparoscopic sleeve gastrectomy

Splenic artery pseudoaneurysm rupture post-laparoscopic sleeve gastrectomy

Rare Complications Following Laparoscopic Sleeve Gastrectomy

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