| Autor: |
Ting-Yi, Chu, Wan-Ting, Hung, Guo-Shiou, Liao, Kuo-Feng, Hsu |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Revista Española de Enfermedades Digestivas. |
| ISSN: |
1130-0108 |
| DOI: |
10.17235/reed.2022.9185/2022 |
| Popis: |
The incidence of gastric stenosis, a complication of laparoscopic sleeve gastrectomy (LSG), has been reported to range from 0.7% to 4%. Only 1.1% of stenosis develop symptoms that require endoscopic or surgical intervention. We herein report a challenging case of mid-gastric stenosis and gastric tube twist following LSG. A 38-year-old woman with an initial body mass index (BMI) of 35 kg/m2 and metabolic syndrome undergoing LSG. A week after surgery, the patients developed intermittent vomiting and eating difficulty. Gastroscopy and following diagnostic laparoscopy were performed 3 weeks after LSG, subsequently revealing unusual mid-gastric stenosis and gastric tube twist. Initial conservative treatment and endoscopic balloon dilatation were implemented but failed. The patient received laparoscopic revisional Roux-en-Y gastric bypass and recovered well. A follow-up after 2 years revealed that her BMI decreased to 22.1 kg/m2. In conclusion, post-LSG stenosis is a serious complication that requires early detection and prompt management. Prompt revisional surgery is necessary for complicated stenosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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