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Experience of imaging following laparoscopic sleeve gastrectomy
Author(s) -
Meredith Ineke,
Lim Yu Kai,
Wickremesekera Susrutha K.,
Bann Simon
Publication year - 2015
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.13284
Subject(s) - medicine , radiology , computed tomography , retrospective cohort study , gastrectomy , medical record , sleeve gastrectomy , population , laparoscopy , general surgery , surgery , gastric bypass , cancer , weight loss , environmental health , obesity
Background We aimed to report our experience with upper gastrointestinal ( UGI ) contrast studies and computed tomography ( CT ) swallow studies after laparoscopic sleeve gastrectomy, and comment on the merits of each modality. Method Retrospective review of all patients undergoing laparoscopic sleeve gastrectomy ( LSG ) in a New Zealand hospital between 2011 and 2014 was conducted. Over this time period, routine UGI was replaced by CT swallow studies. All medical records and radiology were reviewed and pertinent findings reported. Results Seventy‐nine patients underwent LSG over this time period and one patient had to be excluded; 48 (61.5%) had a UGI study and 30 patients (38.5%) had CT swallow. There were no leaks in this study and no leaks became clinically significant. Sixteen of 30 patients (53.3%) undergoing CT swallow had significant incidental findings demonstrated on axial imaging that required follow‐up. Conclusion CT swallow can provide the same information as a UGI but has a significant rate of incidental findings. The rate of incidental pathology on CT is higher than that quoted in the general population. In a bariatric population, this may allow early detection and treatment of co‐existent pathology.