16 Laparoscopic Sleeve Gastrectomy: Management of Complications

  • Pornthep Prathanvanich
  • Bipan ChandEmail author


The growing popularity of sleeve gastrectomy to treat obesity has resulted in greater awareness and reporting of the potential complications of this procedure. Every bariatric surgeon who performs sleeve gastrectomy will, at some point, be faced with an early or late sleeve complication. This chapter describes the most common complications after sleeve gastrectomy and management options.


Sleeve gastrectomy Complication Gastric leak Bleeding Obstruction GERD Nutrient deficiencies 



Body mass index


Computerized tomography


Excess weight loss


Gastroesophageal junction


Gastroesophageal reflux disease


Laparoscopic sleeve gastrectomy


Postoperative laparoscopic sleeve gastrectomy gastric leak


Roux-en-Y gastric bypass


Self-expandable metallic stent


Sleeve gastrectomy


Systemic inflammatory response syndrome

Supplementary material

Video 1

Endoscopy view for post-LSG functional obstruction (M4V 10267 kb)

Video 2

Primary repair post-LSG gastric leak (M4V 51528 kb)

Video 3

Lap sleeve with hematoma (M4V 18419 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryStritch School of Medicine, Loyola University ChicagoChicagoUSA

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