[Early imaging features after sleeve gastrectomy].
OBJECTIVE
Sleeve gastrectomy is a new bariatric surgical procedure with promising early results and low morbidity and mortality. We have evaluated the early imaging findings and value of upper GI study (UGI) and CT.


METHODS
Twenty five patients (mean age=38.9 years, mean BMI=51.5 kg/m2) following sleeve gastrectomy for morbid obesity underwent UGI at day 1. CT was immediately performed in patients with suspected leak or as a follow-up examinations in patients with suspected complication. The different imaging features observed were recorded.


RESULTS
UGI demonstrated 13 normal examinations (52%), an abnormal appearance in 11 cases (44%) with opacification of a lateral pouch, and one complication (leak confirmed on CT). Two patients underweent CT (day 3 and day 15) for suspected complication, with demonstration of leak in both cases.


CONCLUSIONS
An abnormal appearance after sleeve gastrectomy is frequently observed on UGI. Routine UGI at day 1 is useful to detect large leaks. CT with oral contrast should be performed in all patients with imaging or clinical suspicion of leak.
Werquin
C
C
Département d'Imagerie Médicale, CHU Charles Nicolle, 1, rue de Germont, 76031 Rouen Cedex, France.
Caudron
J
J
Mezghani
J
J
Leblanc-Louvry
I
I
Scotté
M
M
Dacher
J N
JN
Savoye-Collet
C
C
D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013270:Stomach / Q000000981:diagnostic imaging* / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D055815:Young Adult