Woźniewska Paulina, Diemieszczyk Inna, Hady Hady Razak
1 Department of General and Endocrine Surgery, University Hospital of Bialystok, Bialystok, Poland.
Prz Gastroenterol. 2021;16(1):5-9. doi: 10.5114/pg.2021.104733. Epub 2021 Mar 26.
Laparoscopic sleeve gastrectomy (LSG) is an essential bariatric procedure performed in obese patients, which provides significant weight loss and has a positive impact on obesity-related diseases. However, as with any surgical procedure, it carries the risk of complications. The complications that can arise in patients following LSG are divided into acute (diagnosed within 30 days after the surgery) and late. Early complications that require rapid management include haemorrhage (intraluminal or extraluminal), leak in the staple line, and abscess formation. Late complications include gastric stenosis, nutrient deficiencies, mediastinal pouch migration, and the development or exacerbation of gastroesophageal reflux diseases. In this review, we present the basic information about most common complications following LSG, and their symptoms, diagnostic tools, and management.
腹腔镜袖状胃切除术(LSG)是肥胖患者进行的一种重要的减肥手术,它能显著减轻体重,并对肥胖相关疾病产生积极影响。然而,与任何外科手术一样,它存在并发症风险。LSG术后患者可能出现的并发症分为急性(术后30天内诊断)和晚期并发症。需要迅速处理的早期并发症包括出血(腔内或腔外)、吻合钉线渗漏和脓肿形成。晚期并发症包括胃狭窄、营养缺乏、纵隔袋移位以及胃食管反流病的发生或加重。在本综述中,我们介绍了LSG术后最常见并发症的基本信息、其症状、诊断工具及处理方法。