alexa Complications after laparoscopic sleeve gastrectomy.
Surgery

Surgery

Surgery: Current Research

Author(s): Lalor PF, Tucker ON, Szomstein S, Rosenthal RJ

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Abstract BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has recently become a feasible option in the management of morbid obesity. The objective of this study was to examine the morbidity and mortality arising from LSG as a primary procedure for weight loss. METHODS: We retrospectively reviewed the data of 164 patients who underwent LSG from 2004 to 2007. Patients underwent LSG as a primary procedure or as revisional bariatric surgery. The short-term morbidity and mortality were examined. RESULTS: One-stage LSG was performed in 148 patients. The major complication rate was 2.9\% (4 of 149), including 1 leak (0.7\%) and 1 case of hemorrhage (0.7\%)-each requiring reoperation-1 case of postoperative abscess (0.7\%), and 1 case of sleeve stricture that required endoscopic dilation (0.7\%). One late complication of choledocholithiasis and bile duct stricture required a Whipple procedure. LSG was used as revisional surgery in 16 patients (9\%); of these, 13 underwent LSG after complications related to laparoscopic adjustable gastric banding, 1 underwent LSG after aborted laparoscopic Roux-en-Y gastric bypass, and 2 underwent LSG after failed jejunoileal bypass. One of these patients developed a leak and an abscess (7.1\%) requiring reoperation. One case was aborted, and 2 cases were converted to an open procedure secondary to dense adhesions. No patient died in either group. All but 3 cases were completed laparoscopically (98\%). CONCLUSION: LSG is a relatively safe surgical option for weight loss as a primary procedure and as a primary step before a secondary nonbariatric procedure in high-risk patients. This article was published in Surg Obes Relat Dis and referenced in Surgery: Current Research

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