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Published on: December 27, 2024
Iatrogenic oesophageal transection during laparoscopic sleeve gastrectomy
Abdul-Wahed Nasir Meshikhes1, Osama Habib Al-Saif
1Department of Surgery, King Fahad Specialist Hospital, Dammam, Eastern Province, Saudi Arabia.
Abstract:
Laparoscopic sleeve gastrectomy has been hailed as an easy and safe procedure when compared with other bariatric operations. However, it may be associated with well-recognised early complications such as leaks and bleeding, as well as late ones such as stenosis and weight regain. Iatrogenic complete oesophageal transection has never been reported before as a complication. We report a case of complete oesophageal transection during laparoscopic sleeve gastrectomy that was not recognised intraoperatively. The repair of this iatrogenic injury was staged, with the final stage carried out some 3 months after the initial procedure. This case report highlights the possible occurrence of complete oesophageal transection during laparoscopic sleeve gastrectomy, and suggests steps to avoid and correct such complications.
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