Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide.
Obesity is a common disease affecting adults and children. The incidence of obesity in Canada is increasing. Laparoscopic sleeve gastrectomy (LSG) is a relatively new and effective procedure for weight loss. Owing to an increase in the number of bariatric surgical procedures, general surgeons should have an understanding of the complications associated with LSG and an approach for dealing with them. Early postoperative complications following LSG that need to be identified urgently include bleeding, staple line leak and development of an abscess. Delayed complications include strictures, nutritional deficiencies and gastresophageal reflux disease. We discuss the principles involved in the management of each complication.
From the Centre for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandra Hospital, Edmonton, Alta.
Kourosh
K
Sarkhosh
Daniel W
DW
Birch
Arya
A
Sharma
Shahzeer
S
Karmali
D018784:Abdominal Abscess / Q000601:surgery; D000328:Adult; D003251:Constriction, Pathologic; D019299:Decompression, Surgical; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D044342:Malnutrition / Q000453:epidemiology / Q000628:therapy; D009767:Obesity, Morbid / Q000601:surgery; D011028:Pneumoperitoneum, Artificial; D011183:Postoperative Complications / Q000453:epidemiology / Q000628:therapy; D019106:Postoperative Hemorrhage / Q000453:epidemiology / Q000601:surgery; D015607:Stents