Journal of Biomedical and Clinical Research 16(1): 33-38, doi: 10.2478/jbcr-2023-0004
Complications After Laparoscopic Sleeve Gastrectomy in a Series of 186 Patients
Toni Ivanov Stoyanov‡, Pedro Cascales-Sánchez, Agustina Martínez Moreno‡ Unit of Endocrine and Bariatric Surgery, Department of General Surgery, University Hospital Center Albacete., Albacete, Spain
© Toni Stoyanov, Pedro Cascales-Sánchez, Agustina Moreno. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY-NC-ND 4.0), which permits to copy and distribute the article for non-commercial purposes, provided that the article is not altered or modified and the original author and source are credited. Citation:
Stoyanov T, Cascales-Sánchez P, Moreno A (2023) Complications After Laparoscopic Sleeve Gastrectomy in a Series of 186 Patients. Journal of Biomedical and Clinical Research 16(1): 33-38. https://doi.org/10.2478/jbcr-2023-0004 |  |
Abstract
A retrospective study analyzed the complications in 186 patients who underwent laparoscopic sleeve gastrectomy (LSG). One hundred eighty-four patients were operated on at the University Hospital Centre of Albacete between May 2006 and September 2022. Two patients with early postoperative complications received surgical treatment in other centers. The overall postoperative complication rate (including GERD) was 13.9%. Ten patients (5.38%) had complications in the early postoperative period. In 4 cases (2.15%), there was stapler-line leakage. Abdominal bleeding associated with hemoperitoneum occurred in four patients (2.15%) immediately after the surgery due to bleeding from the suture line. In the long-term follow-up, two patients (1.08%) had gastric tube strictures requiring endoscopic pneumatic balloon dilation (EPBD). Fourteen patients (7.53%) presented with de novo Gastroesophageal Reflux, of whom 7 (3.76%) required revision surgery to Laparoscopic Rouxen-Y Gastric Bypass (LRYGB). Laparoscopic sleeve gastrectomy, in our experience, is a secure bariatric procedure with a low rate of morbidity and mortality, both post-surgical and long-term.
Keywords
laparoscopic sleeve gastrectomy, complications, leakage, bleeding, gastric stenosis