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. 2013 Oct;56(5):347-52.
doi: 10.1503/cjs.033511.

Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide

Kourosh Sarkhosh  1 , Daniel W Birch, Arya Sharma, Shahzeer Karmali
Affiliations

Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide

Kourosh Sarkhosh et al. Can J Surg. 2013 Oct.

Abstract
in English, French

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.

L'obésité est une maladie fort répandue, tant chez les adultes que chez les enfants, et son incidence est en hausse au Canada. La gastrectomie longitudinale laparoscopique (GLL) est une intervention relativement nouvelle et efficace pour la perte de poids. Compte tenu de l'augmentation du nombre d'interventions chirurgicales bariatriques, les chirurgiens généralistes doivent se familiariser avec les complications associées à la GLL et avec leur prise en charge. Les complications postopératoires immédiates de la GLL qu'il faut savoir reconnaître sans retard sont l'hémorragie, les fuites le long de la ligne d'agrafes et la formation d'abcès. Parmi les complications plus tardives, mentionnons les sténoses, les carences alimentaires et le reflux gastro-œsophagien. Nous présentons les principes qui sous-tendent la prise en charge de chaque complication.

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Figures

Fig. 1
Fig. 1
Sleeve gastrectomy.
Fig. 2
Fig. 2
Radiograph showing a normal image of the stomach after laparoscopic sleeve gastrectomy.
Fig. 3
Fig. 3
Radiograph showing a leak following laparoscopic sleeve gastrectomy.
Fig. 4
Fig. 4
Radiograph showing an intraluminal stent for the treatment of a leak following laparoscopic sleeve gastrectomy.
See this image and copyright information in PMC

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