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Laparoscopic sleeve gastrectomy: Everything the radiologist needs to know
Tulay Ekinci1, Marjorie W Stein2, Fernanda S Mazzariol2
1Department of Internal Medicine, Montefiore Medical Center, 600 East 233(rd) Street, Bronx, NY 10466, United States.
Clinical Imaging
|February 11, 2017
Summary
Laparoscopic sleeve gastrectomy is a common bariatric surgery for obesity management. This review covers surgical techniques, normal and complicated imaging, and potential radiographic pitfalls for this effective procedure.
Area of Science:
- Medical Imaging
- Gastroenterology
- Surgical Procedures
Background:
- Obesity is a widespread epidemic in the United States.
- Bariatric surgery is increasingly utilized for obesity management.
- Laparoscopic sleeve gastrectomy is a preferred bariatric procedure due to efficacy and lower complication rates.
Purpose of the Study:
- To discuss the surgical technique of laparoscopic sleeve gastrectomy.
- To review the imaging of normal and complicated sleeve gastrectomy.
- To highlight common radiographic pitfalls in sleeve gastrectomy imaging.
Main Methods:
- Literature review of bariatric surgery techniques.
- Analysis of imaging modalities for sleeve gastrectomy.
- Identification and categorization of radiographic findings.
Main Results:
- Laparoscopic sleeve gastrectomy involves specific surgical steps.
- Characteristic imaging findings are observed in normal post-operative states.
- Complications such as leaks and strictures present with distinct imaging features.
- Radiographic pitfalls can lead to misinterpretation of findings.
Conclusions:
- Laparoscopic sleeve gastrectomy is an effective treatment for morbid obesity.
- Familiarity with surgical technique and imaging is crucial for accurate diagnosis.
- Awareness of potential pitfalls enhances diagnostic accuracy and patient care.

