DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20222053
Published: 2022-08-12

Early and late complication of sleeve gastrectomy

Noora O. Rahimuddin, Wael K. Alanazi, Reham M. Alabdulhadi, Abdullah A. Alwakeel, Thamer A. Alanazi, Reem M. Alyousef, Abdullah M. Alzahrani, Fahad S. Aldhafeeri, Maram N. Alawad, Gaith A. Sabrah, Abdulaziz N. Alshahrani

Abstract


The rate of obesity is on rise worldwide and almost 13% of the global population is obese leading to development of various other diseases and complications. Lack of effective outcome from conventional approach for weight control and loss is causing a transition among people to approach for bariatric surgeries. Sleeve gastrectomy is one of the surgical techniques of bariatric surgery aimed to achieve weight loss. Like any other surgical procedure, it also has certain post-operative complications associated with it. The complications of sleeve gastrectomy are further divided into early and late phase. The purpose of this research is to review the available information about early and late complication of sleeve gastrectomy. In the surgical treatment of morbid obesity, sleeve gastrectomy is the most widely performed bariatric procedure. It is a minimally invasive and risk-free surgery with a low risk of complications and death. The complication rates for early and late complication range from 5.4% to 7.3%, with incidence of serious complications ranging from 1.2% to 2.2%. Early complications include bleeding such as intraluminal or extraluminal, a leak in the staple line, and the formation of an abscess. While gastric stenosis, nutritional shortages, mediastinal pouch migration, and the development or worsening of gastroesophageal reflux disease are all late consequences. Older age, male sex, increased body mass index, smoking, and comorbidities are considered the risk factors for the development of complications of sleeve gastrectomy. Overall, sleeve gastrectomy is considered a safe and effective surgical weight loss technique.


Keywords


Early, Late, Complication, Sleeve, Gastrectomy

Full Text:

PDF

References


Woźniewska P, Diemieszczyk I, Hady HR. Complications associated with laparoscopic sleeve gastrectomy - a review. Przeglad Gastroenterol. 2021;16(1):5-9.

ASMBS Clinical Issues Committee. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2012;8(3):21-6.

Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obesity Surg. 2003;13(6):861-4.

Deitel M, Gagner M, Erickson AL, Crosby RD. Third International Summit: Current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(6):749-59.

Frezza EE. Laparoscopic vertical sleeve gastrectomy for morbid obesity. The future procedure of choice? Surg Today. 2007;37(4):275-81.

Marceau P, Hould FS, Simard S. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947-54.

Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514-23.

Eisenberg D, Bellatorre A, Bellatorre N. Sleeve gastrectomy as a stand-alone bariatric operation for severe, morbid, and super obesity. J Soc Laparoendosc Surg. 2013;17(1):63-7.

Hajer AA, Wolff S, Benedix F, Hukauf M, Manger T, Stroh C. Trends in Early Morbidity and Mortality after Sleeve Gastrectomy in Patients over 60 Years: Retrospective Review and Data Analysis of the German Bariatric Surgery Registry. Obes Surg. 2018;28(7):1831-7.

Chivot C, Robert B, Lafaye N, Fuks D, Dhahri A, Verhaeghe P, Regimbeau JM, Yzet T. Laparoscopic sleeve gastrectomy: imaging of normal anatomic features and postoperative gastrointestinal complications. Diagn Interv Imaging. 2013;94(9):823-34.

Zellmer JD, Mathiason MA, Kallies KJ, Kothari SN. Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis. Am J Surg. 2014;208(6):903-10.

Głuszyńska P, Diemieszczyk I, Szczerbiński Ł, Krętowski A, Major P, Razak Hady H. Risk Factors for Early and Late Complications after Laparoscopic Sleeve Gastrectomy in One-Year Observation. J Clin Med. 2022;11(2).

Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide. Canad J Surg J. 2013;56(5):347-52.

Lim R, Beekley A, Johnson DC, Davis KA. Early and late complications of bariatric operation. Trauma Surg Acute Care Open. 2018;3(1):e000219.

Hoyuela C. Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study. World J Gastrointestinal Surg. 2017;9(4):109-17.

Garg H, Aggarwal S, Misra MC, Priyadarshini P, Swami A, Kashyap L, Jaiswal R. Mid to long term outcomes of Laparoscopic Sleeve Gastrectomy in Indian population: 3-7 year results - A retrospective cohort study. Int J Surg. 2017;48:201-9.

Mittermair R, Sucher R, Perathoner A. Results and complications after laparoscopic sleeve gastrectomy. Surg Today. 2014;44(7):1307-12.

Lazzati A, Audureau E, Hemery F, Schneck AS, Gugenheim J, Azoulay D, Iannelli A. Reduction in early mortality outcomes after bariatric surgery in France between 2007 and 2012: A nationwide study of 133,000 obese patients. Surgery. 2016;159(2):467-74.

Major P, Wysocki M, Pędziwiatr M, Pisarska M, Dworak J, Małczak P, Budzyński A. Risk factors for complications of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Int J Surg. 2017;37:71-8.

Debs T, Petrucciani N, Kassir R, Sejor E, Karam S, Ben Amor I, Gugenheim J. Complications after laparoscopic sleeve gastrectomy: can we approach a 0% rate using the largest staple height with reinforcement all along the staple line? Short-term results and technical considerations. Surg Obes Relat Dis. 2018;14(12):1804-10.

Kumar SB, Hamilton BC, Wood SG, Rogers SJ, Carter JT, Lin MY. Is laparoscopic sleeve gastrectomy safer than laparoscopic gastric bypass? a comparison of 30-day complications using the MBSAQIP data registry. Surg Obes Relat Dis. 2018;14(3):264-9.

Iannelli A, Schneck AS, Gugenheim J. Segmental splenic ischemia after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2015;11(1):265-6.

Abdelhady MH, Salama AF, Karam M, Bashah M. Solid Organ Infections: Rare Complications After Laparoscopic Sleeve Gastrectomy: a Report of Four Cases. Obes Surg. 2017;27(5):1374-80.

Dakour Aridi H, Alami R, Tamim H, Shamseddine G, Fouani T, Safadi B. Long-term outcomes of laparoscopic sleeve gastrectomy: a Lebanese center experience. Surg Obes Relat Dis. 2016;12(9):1689-96.

Sroka G, Milevski D, Shteinberg D, Mady H, Matter I. Minimizing Hemorrhagic Complications in Laparoscopic Sleeve Gastrectomy--a Randomized Controlled Trial. Obes Surg. 2015;25(9):1577-83.

Turcu F, Balahura C, Doras I, Constantin A, Copaescu C. Symptomatic Stenosis after Laparoscopic Sleeve Gastrectomy - Incidence and Management in a High-Volume Bariatric Surgery Center. Chirurgia. 2018;113(6):826-36.

Felsenreich DM, Bichler C, Langer FB, Gachabayov M, Prager G. Sleeve Gastrectomy: Surgical Technique, Outcomes, and Complications. Surg Technol Int. 2020;36:63-9.