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 REVIEW ARTICLE
Year : 2019  |  Volume : 15  |  Issue : 1  |  Page : 1-7

Perioperative complications of sleeve gastrectomy: Review of the literature


1 Digestive Surgery Unit, Archet 2 Hospital, University Hospital of Nice; Inserm, U1065, Team 8 “Hepatic Complications of Obesity”; University of Nice Sophia Antipolis, Nice, France
2 Digestive Surgery Unit, Archet 2 Hospital, University Hospital of Nice, Nice, France
3 Department of Cardio-Thoracic and Respiratory Science, University of Campania “Luigi Vanvitelli”; IX Division of General Surgery, Vascular Surgery and Applied Biotechnology, Naples University Polyclinic, Naples, Italy
4 Digestive and Bariatric Surgery Unit, Joseph Ducuing Hospital, Toulouse, France

Correspondence Address:
Dr Francesco Martini
Digestive and Bariatric Surgery Unit, Joseph Ducuing Hospital, 15 rue Varsovie, 31027, Toulouse
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_271_17

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Sleeve gastrectomy (SG) has known a spectacular rise worldwide during the last decade. The absence of digestive anastomosis simplifies the surgical technique, reducing anastomosis-related complications such as fistula, stricture and marginal ulcer. Furthermore, the respect for digestive continuity preserves the functions of pylorus, that regulates gastric emptying, and duodenum, where calcium, B vitamins and iron are absorbed. Despite the multiple advantages, SG also has specific complications such as bleeding, stenosis, portal thrombosis and leak. The staple line leak at the oesophagogastric junction is the most feared complication and its prevention remains difficult, as the involved mechanisms have been only partially elucidated. Its management is long and requires a multidisciplinary technical platform including Intensive Care Unit, digestive endoscopy and interventional radiology as well as a specialised surgeon. The aim of this review is to explain in detail the perioperative complications of SG, their prevention and treatment, referring to the most recent available literature.






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