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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

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Routine upper gastrointestinal swallow studies after laparoscopic sleeve gastrectomy are unnecessary.

Reinhard Mittermair¹, Robert Sucher¹, Alexander Perathoner¹

¹Department of Visceral, Transplant and Thoracic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria.

American Journal of Surgery

|October 15, 2013

Summary

Early upper gastrointestinal (UGI) contrast studies after laparoscopic sleeve gastrectomy do not reliably detect leaks. UGI series on postoperative day 1 are not recommended for routine screening of bariatric surgery patients.

Keywords:

Bariatric surgery Complications Obesity Sleeve gastrectomy UGI study

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A Murine Model of Vertical Sleeve Gastrectomy

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Published on: December 18, 2017

Area of Science:

Bariatric Surgery
Gastroenterology
Radiology

Background:

Laparoscopic sleeve gastrectomy is a popular bariatric procedure.
Assessing postoperative complications is crucial for patient safety.

Purpose of the Study:

To evaluate the utility of early upper gastrointestinal (UGI) contrast studies in detecting complications after laparoscopic sleeve gastrectomy.

Main Methods:

Reviewed radiographic reports of 161 patients who underwent laparoscopic sleeve gastrectomy between April 2006 and January 2013.
All patients received a UGI examination on postoperative day 1.

Main Results:

No contrast leaks were identified on postoperative day 1 among 161 patients.
Three patients (1.9%) experienced stapler line leaks diagnosed later (PODs 3, 4, and 10).
Gastroesophageal reflux (3.1%) and delayed transit (6.2%) were also observed.

Conclusions:

Postoperative day 1 UGI series are insufficient for assessing gastric remnant integrity.
Routine early UGI studies are not necessary for all patients post-sleeve gastrectomy.
CT swallow studies are recommended for patients with clinical signs of complications.