Anthony A Castelli, MD, Rami E Lutfi, MD, FACS, FASMBS. University of Illinois – Chicago Metropolitan Group Hospitals
We present two cases in which gastric diverticula were found in patients undergoing laparoscopic sleeve gastrectomy. In the first case, the gastric diverticulum was found incidentally during the procedure. Conversely, the diverticulum was found on preoperative transnasal esophagoscopy in the second case. In both cases, the diverticula were in the pericardic region of the stomach and were able to be incorporated in the gastrectomy specimen. There are currently no established guidelines regarding the management of incidental gastric diverticula during sleeve gastrectomy which is likely due to the rare prevalence of this abnormality. We recommend incorporating the gastric diverticulum within the gastrectomy specimen if possible. In addition, the operative plan would have differed if preoperative endoscopy demonstrated a diverticulum in the future stomach remnant. Though the use of preoperative endoscopy is controversial, it would have been beneficial to have had a preoperative esophagogastroduodenoscopy that demonstrated the diverticulum in order to anticipate it intraoperatively and make any changes to the operative plan as needed.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 91938
Program Number: V362
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop