Unusual complications after bariatric surgery − gastric plication
Authors:
K. Doležalová Kormanová; M. Fried
Authors‘ workplace:
OB klinika, a. s., Centrum pro léčbu obezity a metabolických onemocnění, Praha
Published in:
Rozhl. Chir., 2019, roč. 98, č. 2, s. 77-80.
Category:
Case Report
Overview
Laparoscopic gastric plication (LGCP) is a relatively new bariatric-metabolic operation. The greater gastric curvature is invaginated into the gastric lumen, resulting in a shape similar to that obtained after sleeve gastrectomy.
In our paper, we report two interesting cases of patients with gastric plication who presented specific findings – food bezoar and gastric diverticulum. Case reports of bezoars after bariatric surgery are reported most commonly after gastric banding and gastric bypass surgery. Diverticulum of the gastric wall is a complication specific to LGCP when a part of the invaginated gastric wall is slipped between two sutures. A prompt endoscopic intervention is recommended to relieve the obstruction and, in case of diverticulum, to diagnose and manage it surgically.
Keywords:
complications – bariatric surgery – laparoscopic gastric plication – bezoar – diverticulum
Sources
- Fried M, Dolezalova K, Buchwald N, et al. Laparoscopic greater curvature plication (LGCP) for the treatment of morbid obesity in a series of 244 patients. Obes Surg 2012;22:1298−307.
- Dikicier E, Altintoprak F, Ozkan OV, et al. Intestinal obstruction due to phytobezoars: An update. World J Clin Cases 2015;3:721−6.
- Ben-Porat T, Sherf Dagan S, Goldenshluger A, et al. Gastzrointestinal phytobezoar following bariatric surgery. Surg Obes Relat Dis 2016;12:1747−54.
- Krausz MM, Moriel EZ, Ayalon A. Surgical aspects of gastrointestinal phytobezoar treatment. Am J Surg 1986;152:526−30.
- Stroh Ch, Hohmann U, Schramm H, et al. Fourteen-year long-term results after gastric banding. Journal of Obesity 2011. Available from: doi:10.1155/2011/128451.
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2019 Issue 2
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