Sarwal Ankush, Khullar Rajesh, Sharma Anil, Soni Vandana, Baijal Manish, Chowbey Pradeep
Max Institute of Minimal Access and Bariatric Surgery, Max Super Speciality Hospital, New Delhi, India.
J Minim Access Surg. 2018 Apr-Jun;14(2):164-167. doi: 10.4103/jmas.JMAS_169_17.
Laparoscopic sleeve gastrectomy (LSG) at present one of the most commonly performed surgical treatments for morbid obesity worldwide. There are some complications regarding this procedure in the literature. This report presents a patient who developed acute pancreatitis immediate post-LSG. Patient was referred to our institute on 10 post-operative day with a complaint of fever, nausea, abdominal pain and leucocytosis. A diagnostic laparoscopy showed pancreatitis. Post-operatively, the patient was managed on treatment line of acute pancreatitis and recovered well. LSG is a common procedure in bariatric, and the most common complications are leakage and bleeding from the suture line. However, we encountered pancreatitis after LSG which is a rarely reported complication after LSG. We hypothesise that the development of acute pancreatitis in patients undergoing LSG is not well recognised and reported.
腹腔镜袖状胃切除术（LSG）目前是全球范围内治疗病态肥胖最常用的外科手术之一。文献中提及该手术存在一些并发症。本报告介绍了一名患者，其在腹腔镜袖状胃切除术后立即发生了急性胰腺炎。患者在术后第10天因发热、恶心、腹痛和白细胞增多症被转诊至我院。诊断性腹腔镜检查显示为胰腺炎。术后，患者按照急性胰腺炎的治疗方案进行处理，恢复良好。腹腔镜袖状胃切除术在减肥手术中是一种常见手术，最常见的并发症是缝合线处渗漏和出血。然而，我们遇到了腹腔镜袖状胃切除术后发生胰腺炎的情况，这是腹腔镜袖状胃切除术后很少报道的并发症。我们推测，接受腹腔镜袖状胃切除术患者中急性胰腺炎的发生未得到充分认识和报道。
