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Intraoperative Anesthesia Management

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The Perfect Sleeve Gastrectomy

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Abstract

The most common anesthetic-related problems after sleeve gastrectomy are postoperative nausea and vomiting (PONV), post-discharge nausea and vomiting (PDNV), and postoperative pain.

Postoperative bleeding and leaking are less common acute complications with potentially dangerous outcomes. Although these are surgical complications, the anesthesiologist can reduce the incidence by working with the surgeon to adapt blood pressure, properly position the gastric tube, and perform leak tests.

The most common chronic complications after sleeve gastrectomy are abbess, stricture, and chronic postoperative pain syndrome. Nutrient deficiency is less frequent after sleeve gastrectomy compared with gastric bypass. Gastroesophageal reflux disease (GERD) is more problematic, as it requires long-term therapy.

Anesthesia can make a difference in outcomes after laparoscopic sleeve gastrectomy by adapting perioperative anesthesia to reduce acute and chronic complications.

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Authors and Affiliations

  1. Department of Anaesthesiology & Intensive care AZ Sint-Jan Brugge KULeuven & UGent Brugge, Flanders, Belgium

    Jan Paul Mulier

  2. Department of Anaesthesiology, Professor of Anaesthesiology, Universidade Federal de São Paulo, Sao Paulo, Brazil

    Luiz Fernando dos Reis Falcão

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  1. Jan Paul Mulier
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  2. Luiz Fernando dos Reis Falcão
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Editor information

Editors and Affiliations

  1. Department of Surgery, Sacré-Coeur Hospital, Montréal, QC, Canada

    Michel Gagner

  2. Bariatric Surgery, Gastro Obeso Center, Sao Paulo, Brazil

    Almino Ramos Cardoso

  3. Diagnomed, University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  4. Emirates Specialty Hospital, Dubai, United Arab Emirates

    Patrick Noel

  5. CHU Montpellier, Saint Gely du Fesc, France

    David Nocca

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Mulier, J.P., Falcão, L.F.d.R. (2020). Intraoperative Anesthesia Management. In: Gagner, M., Cardoso, A., Palermo, M., Noel, P., Nocca, D. (eds) The Perfect Sleeve Gastrectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-28936-2_13

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