Batayyah Esam, Yaseen Waed, Althobaiti Shatha
Al Noor Specialist Hospital, Makkah, Saudi Arabia.
Case Rep Surg. 2022 Apr 8;2022:2157522. doi: 10.1155/2022/2157522. eCollection 2022.
Globally among bariatric procedures, SG popularity has grown significantly. New complications arise as a result of the rapid growth in the numbers of LSG. Once SG has been performed, the stomach is left with no fixations along the entire greater curvature, which may predispose to volvulus. . The 44-year-old patient had laparoscopic sleeve gastrectomy 2 years and 6 months before presentation in our emergent department complaining of episodic intolerance to oral intake for 3 months before presentation. Gastrografin swallow study showed gastric outlet obstruction. The patient was taken to the operation room for laparoscopic exploration, gastric untwisting.
This case highlights a rare complication of SG which has been inconsistently addressed in the literature. Awareness of such complications would help surgeons to widen their differential diagnosis of postoperative sleeve gastrectomy early complications to manage them effectively. The video of the procedure showing the intraoperative finding can be accessed at.
在全球范围内的减肥手术中，袖状胃切除术（SG）的受欢迎程度显著提高。由于腹腔镜袖状胃切除术（LSG）数量的快速增长，出现了新的并发症。一旦实施了SG，胃在整个大弯侧没有固定点，这可能易导致胃扭转。这位44岁的患者在我院急诊科就诊前2年6个月接受了腹腔镜袖状胃切除术，就诊前3个月出现间歇性口服不耐受。泛影葡胺吞咽造影检查显示胃出口梗阻。患者被送往手术室进行腹腔镜探查和胃扭转复位。
本病例突出了SG一种罕见的并发症，文献中对此的论述并不一致。认识到此类并发症将有助于外科医生扩大对袖状胃切除术后早期并发症的鉴别诊断，从而有效地进行处理。可通过……获取显示术中发现的手术视频。
