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Delayed Gastric Leak Secondary to Marijuana Consumption Post Sleeve Gastrectomy
Sai Swarupa Vulasala1, Sunil Sharma2, Swati Sharma1
1Radiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.
Cureus
|June 30, 2025
Summary
Delayed gastric leak after laparoscopic sleeve gastrectomy (LSG) is rare. This case report highlights a potential association between marijuana consumption and this serious complication, emphasizing the need for awareness in bariatric surgery patients.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Surgical Complications
Background:
- Obesity is a significant chronic disease in the United States, driving the increased prevalence of metabolic and bariatric surgeries.
- Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed bariatric procedure in the US.
- Complications following LSG are uncommon and typically manifest in the acute postoperative period.
Observation:
- This report details a rare case of delayed gastric leak occurring after LSG.
- The leak was identified as secondary to marijuana consumption in the patient.
- Clinical presentation, diagnostic imaging, and treatment strategies for this delayed complication are discussed.
Findings:
- Delayed gastric leak is a rare but serious complication following LSG.
- Marijuana consumption may be associated with the development of delayed gastric leak post-LSG.
- Early recognition and appropriate management are crucial for favorable outcomes.
Implications:
- This case underscores the importance of considering patient lifestyle factors, including substance use, in the management of post-bariatric surgery complications.
- Further research may be warranted to elucidate the potential mechanisms linking marijuana use and delayed gastric leak.
- Clinicians should maintain a high index of suspicion for delayed gastric leak in patients with relevant risk factors.
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