Open AccessLower oesophageal peptic stricture after laparoscopic sleeve gastrectomy: World's first case report
Author(s) -
Palanivelu Praveen Raj,
Shivanshu Misra,
Siddhartha Bhattacharya,
Saravana Kumar,
Tanvi Sunil Kumar,
Mohd Juned Khan,
C. Palanivelu
Publication year - 2020
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_29_19
Subject(s) - medicine , peptic , sleeve gastrectomy , surgery , gastrectomy , gastric bypass , reflux , roux en y anastomosis , esophageal stricture , general surgery , peptic ulcer , disease , esophagus , weight loss , cancer , obesity
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.