Lisa Yang, MD, John J Kelly, MD, FACS, Pei-Wen Lim, MD. University of Massachusetts
Laparoscopic sleeve gastrectomy has emerged as the most common technique for weight loss surgery. It’s outcome for weight loss and decrease in complexity and mortality when compared to the Roux-en-Y gastric bypass has made it an excellent procedure. However despite it’s lessened complexity, the complication can be quite serious. The three main complications are leak, stricture and bleed. Stricture rates are quite low but widely varied in different studies. They can range anywhere from less than 1% -4%. Most strictures that were symptomatic were found over a month out from surgery and reported literature for treatment include endoscopic dilation, seromyotomy and wedge resections. Almost all strictures were found at the level of the incisura. There is not much data found on stenosis found early in the postoperative no period or treatment options for this. We present a patient that underwent an elective sleeve gastrectomy. This was done in standard fashion and the created sleeve size approximated 36 French. She became symptomatic in the first two days postoperatively from narrowing at the level of the incisura. She was taken to the operating room for a laparoscopic stricturoplasty and did well in recovery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80491
Program Number: V211
Presentation Session: Video Loop
Presentation Type: VideoLoop