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Obesity Surgery

, Volume 29, Issue 1, pp 316–317 | Cite as

Pancreatic Tail Bleeding and Leakage After Sleeve Gastrectomy in a Patient with High Body Mass Index: a Case Report

  • Masood Amini
  • Reza Dehghani
  • Afshin ZareEmail author
Letter to the Editor
  • 31 Downloads

Background

Nowadays, sleeve gastrectomy is being chosen by many bariatric surgery teams [1]. In this surgery, leakage is the most common complication [2]. This problem can extend the time patients stay in the hospital and as a result, increase the cost of hospitalization [3] (https://www.sages.org/meetings/annual-meeting/abstracts-archive/economic-impact-of-anastomotic-leaks-in-bariatric-procedures-in-the-usa-2005-2009/). The newest studies have showed 1 to 5% leak rate in bariatric procedures (https://www.sages.org/meetings/annual-meeting/abstracts-archive/economic-impact-of-anastomotic-leaks-in-bariatric-procedures-in-the-usa-2005-2009/). The most frequent leakage site is staple-line [4].

Case Report

The patient was a 50-year-old man with BMI: 48 admitted for sleeve gastrectomy procedure in Ghadir Mother and Child Hospital, Shiraz, Iran.

Six hours after sleeve gastrectomy, the patient was referred to the operating room due to significant bleeding (around 500 ml fresh blood in 4 h)....

Notes

Acknowledgments

The authors appreciate the helpful assistance of nurses of Laparoscopy ward of Ghadir Mother and Child Hospital, Shiraz, Iran.

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Gaillard M, Tranchart H, Maitre S, et al. Preoperative detection of sarcopenic obesity helps to predict the occurrence of gastric leak after sleeve gastrectomy. Obes Surg. 2018;2:1–7.Google Scholar
  2. 2.
    Varban OA, Sheetz KH, Cassidy RB, et al. Evaluating the effect of operative technique on leaks after laparoscopic sleeve gastrectomy: a case-control study. Surg Obes Relat Dis. 2017;13(4):560–7.CrossRefGoogle Scholar
  3. 3.
    Donatelli G, Guerriero L, Cereatti F, et al. Endoscopic fistula-jejunostomy for chronic gastro-jejunal fistula after sleeve gastrectomy. Obes Surg. 2018;9:1–2.Google Scholar
  4. 4.
    Galloro G, Ruggiero S, Russo T, et al. Staple-line leak after sleve gastrectomy in obese patients: a hot topic in bariatric surgery. World J Gastrointest Endosc. 2015;7(9):843–6.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Laparoscopy Research Center, Department of Surgery, School of MedicineShiraz University of Medical SciencesShirazIran
  2. 2.Department of Pharmacology, School of MedicineShiraz University of Medical SciencesShirazIran

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