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Gastric Stenosis After Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients

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Abstract

Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. The objective of this study is to describe a series of patients who were subjected to LSG and then developed gastric stenosis, with an emphasis on their treatment and a discussion of the possible underlying mechanisms. From January 2006 to October 2012, 717 patients with morbid obesity underwent LSG in our institution. Out of 717 patients, 571 (79.6 %) were women. The mean age was 36.9 years with a BMI of 37.3 kg/m2. Five patients (0.69 %) developed gastric stenosis. Treatment of the stenosis was endoscopic dilatations; however, one patient required a conversion to laparoscopic Roux-en-Y gastric bypass. Stenosis after LSG is rare but requires early diagnosis and treatment.

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References

  1. Brolin RE. Update: NIH consensus conference. Gastrointestinal surgery for severe obesity. Nutrition. 1996;12:403–4.

    Article  PubMed  CAS  Google Scholar 

  2. Sjostrom L, Lindroos A, Peltonen M, et al. Lifestyle, diabetes, and cardio-vascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351:2683–93 [PubMed].

    Article  PubMed  Google Scholar 

  3. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery. A systemic review and meta-analysis. JAMA. 2004;292:1724–37 [PubMed].

    Article  PubMed  CAS  Google Scholar 

  4. Sjostrom L, Narbro K, Sjostrom CD, et al. Swedish obese subjects study. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52 [PubMed].

    Article  PubMed  Google Scholar 

  5. Frezza E, Womiak S, Gee L. Complications after laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7 [Pub Med].

    Article  PubMed  Google Scholar 

  6. Fuks D, Dumont F, Bema P. Case report—complex management of a postoperative bronchogastric fistula after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:261–4 [PubMed].

    Article  PubMed  Google Scholar 

  7. NIH Consensus Statement. Gastrointestinal surgery for severe obesity. 1991;279:1–20

  8. Csendes A, Burdiles P, Papapietro K, et al. Results of gastric bypass plus resection of the distal excluded gastric segment in patients with morbid obesity. J Gastroint Surg. 2005;9:121–31.

    Article  Google Scholar 

  9. Csendes A, Burgos AM, Smok G, et al. Endoscopic and histologic findings of the foregut in 426 patients with morbid obesity. Obes Surg. 2007;17:28–34.

    Article  PubMed  Google Scholar 

  10. Burgos AM, Braghetto I, Csendes A, et al. Gastric leak after laparoscopic sleeve gastrectomy for obesity. Obes Surg. 2009;19:1672–7.

    Article  PubMed  Google Scholar 

  11. Csendes A, Braghetto I, León P, Burgos AM. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010;14:1343–8.

    Article  PubMed  Google Scholar 

  12. Bellorin O, Lieb J, Szomstein S, et al. Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass for acute gastric outlet obstruction after laparoscopic sleeve gastrectomy for morbid obesity. Surg Obes Relat Dis. 2010;6:566–8.

    Article  PubMed  Google Scholar 

  13. Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: eeport of 1,000 cases and 3-year follow-up. Obes Surg. 2012;22:866–71.

    Article  PubMed  Google Scholar 

  14. Lalor P, Tucker O, Szomstein S, et al. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008;4:33–8.

    Article  PubMed  Google Scholar 

  15. Lacy A, Ibarzabal A, Pando E, et al. Revisional surgery after sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:351–6.

    Article  PubMed  Google Scholar 

  16. Mui WL, Ng EK, Tsung BY, et al. Laparoscopic sleeve gastrectomy in ethnic obese Chinese. Obes Surg. 2008;18:1571–4.

    Article  PubMed  Google Scholar 

  17. Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.

    Article  PubMed  CAS  Google Scholar 

  18. Braghetto I, Lanzarini E, Korn O, et al. Manometric changes of the lower esophageal sphincter after sleeve gastrectomy in obese patients. Obes Surg. 2010;20:357–62.

    Article  PubMed  Google Scholar 

  19. Braghetto I, Csendes A, Korn O, et al. Gastroesophageal reflux disease after sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:148–53.

    Article  PubMed  Google Scholar 

  20. Santoro S. Technical aspects in sleeve gastrectomy. Obes Surg. 2007;17:1534–5.

    Article  PubMed  Google Scholar 

  21. Petersen W, Meile T, Kuper M, et al. Functional Importance of laparoscopic sleeve gastrectomy for the lower esophageal sphincter in patients with morbid obesity. Obes Surg. 2012;22:360–6.

    Google Scholar 

  22. Chiu S, Birch D, Shi X, et al. Effect of sleeve gastrectomy on gastroesophageal reflux disease: a systematic review. Surg Obes Rel Dis. 2011;7:510–5.

    Article  Google Scholar 

  23. Keidar A, Appelbaum L, Schweiger C, et al. Dilated upper sleeve can be associated with severe postoperative gastroesophageal dysmotility and reflux. Obes Surg. 2010;21:140–7.

    Article  Google Scholar 

  24. Triantafyllidis G, Lazoura O, Sioka E, et al. Anatomy and complications following laparoscopic sleeve gastrectomy: radiological evaluation and imaging pitfalls. Obes Surg. 2011;21:473–8.

    Article  PubMed  Google Scholar 

  25. Eubanks S, Edwards C, Fearing N, et al. Use of endoscopic stents to treat anastomotic complications after bariatric surgery. J Am Coll Surg. 2008;206:935–9.

    Article  PubMed  Google Scholar 

  26. Sudan R, Kasotakis G, Betof A, et al. Sleeve gastrectomy strictures: technique for robotic-assisted strictureplasty. Surg Obes Relat Dis. 2010;6:434–6.

    Google Scholar 

  27. Dapri G, Cadière G, Himpens J. Laparoscopic seromyotomy for long stenosis after sleeve gastrectomy with or without duodenal switch. Obes Surg. 2009;19:495–9.

    Article  PubMed  Google Scholar 

  28. Zundel N, Hernández J, Galvao Neto M, et al. Strictures after laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:154–8.

    Article  PubMed  Google Scholar 

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Correspondence to Ana María Burgos.

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Burgos, A.M., Csendes, A. & Braghetto, I. Gastric Stenosis After Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients. OBES SURG 23, 1481–1486 (2013). https://doi.org/10.1007/s11695-013-0963-6

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