[Gastric necrosis following gastroplasty].
BACKGROUND
Over the past ten years, laparoscopic surgery in the treatment of morbid obesity has expanded. However, there are few publications describing its side effects, notably the occurrence of gastric necrosis.


METHODS
Two years after laparoscopic-banding for morbid obesity, a case of acute gastroenteritis in a 45 Year-old woman proved to be a gastric necrosis.


CONCLUSIONS
Relatively unknown, this complication is generally revealed by non-specific clinical signs. Only emergency oeso-gastro-duodenal opacification permits diagnosis. Early diagnosis permits conservative treatment before the onset of necrosis.


CONCLUSIONS
Care must be taken when using this technique, which has not yet proved its innocuousness, and regular follow-up of the patient is crucial.
Irtan
Sabine
S
Service de chirurgie digestive, Hôtel Dieu, Clermont-Ferrand. sabineirtan@aol.com
Forestier
Damien
D
Scesa
Jean-Luc
JL
Nini
Emile
E
Gayard
Pierre
P
Pezet
Denis
D
D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000359:Aftercare; D004630:Emergencies; D016145:Endoscopy, Digestive System; D005260:Female; D005334:Fever / Q000209:etiology; D005743:Gastrectomy; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D007964:Leukocytosis / Q000209:etiology; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D009336:Necrosis; D009767:Obesity, Morbid / Q000601:surgery; D013275:Stomach Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013277:Stomach Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D014839:Vomiting / Q000209:etiology