Iatrogenic oesophageal transection during laparoscopic sleeve gastrectomy

Area of Science:

• Gastroenterology
• Surgical Innovation
• Patient Safety

Background:

• Laparoscopic sleeve gastrectomy (LSG) is a popular bariatric procedure known for its perceived safety and ease.
• While generally safe, LSG carries risks including early complications like leaks and bleeding, and late complications such as stenosis and weight regain.

Observation:

• A rare case of iatrogenic complete esophageal transection during LSG is presented.
• This severe complication was unrecognized during the initial intraoperative period.

Findings:

• The study details a staged surgical repair for the complete esophageal transection, with the final stage occurring three months post-procedure.
• This highlights a previously unreported complication of LSG.

Implications:

• This case underscores the importance of vigilance for rare but catastrophic complications during LSG.
• It suggests the need for enhanced intraoperative awareness and specific protocols for managing esophageal transection.
• The report aims to guide surgeons in preventing and correcting such iatrogenic injuries.