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 UNUSUAL CASE
Year : 2020  |  Volume : 16  |  Issue : 3  |  Page : 282-284

Lower oesophageal peptic stricture after laparoscopic sleeve gastrectomy: World's first case report


GEM Hospital and Research Center, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Shivanshu Misra
GEM Hospital and Research Center, Coimbatore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_29_19

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Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery worldwide. De novo gastroesophageal reflux disease after LSG has been reported in the range of 0%–34.9%. Benign lower oesophageal peptic stricture is rare and has not been reported till date. We present the first case report of benign oesophageal peptic stricture post-sleeve gastrectomy and its management. The management modalities for peptic stricture post-LSG include proton pump inhibitors, endoscopic dilatation and surgical management. Revisional Roux-en-Y gastric bypass along with optimal usage of serial dilatation and medical treatment has been shown to be an effective treatment for the same.






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