Open AccessPerioperative complications of sleeve gastrectomy: Review of the literature
Author(s) -
Antonio Iannelli,
Patrick-Julien Treacy,
Luca Sebastianelli,
Luigi Schiavo,
Francesco Martini
Publication year - 2019
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_271_17
Subject(s) - medicine , anastomosis , surgery , sleeve gastrectomy , complication , gastroparesis , perioperative , gastric emptying , leak , fistula , stenosis , gastrectomy , pylorus , general surgery , stomach , radiology , gastric bypass , weight loss , cancer , environmental engineering , engineering , obesity
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.