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Corresponding Author

Ibrahim, Zeinab

Document Type

Original Article

Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery. Gastric leak is a known complication after LSG with reported incidence. morbidity, including sepsis and multi-organ failure. Aim: The purpose is to present patient who suffered from leakage after LSG and to review definitive surgical management and its outcomes. Methods: This study was conducted in department of general surgery at Al Zahraa university hospital from 2017 to 2019. 100 patients with morbid obesity underwent LSG ,all patients diagnosed with gastric leak were included other patients referred to our hospital with gastric leak were included with analysis of the site of leak, time of presentation, investigation and treatment for all patients. Result: Among 100 patients who underwent LSG, 6 cases (1.6%) 3 patients from our hospital and the other 3 patients referred from other hospital. The mean BMI was 45.7+5.5 the mean age was 30-45years. Gastric leak was diagnosed 24 hrs. To 1 month with interval between surgery and readmission for leak was 13 days range (5-3odays) . We record one case death of 3 cases referred due to sepsis. Remaining 5 cases were fully recovered after surgical treatment, no sign of persist leak, no mortality during period of follow up. Conclusion: Gastric leakage after LSG is associated with long-term morbidity and one of most serious complications and end in organ failure and even death so choosing proper treatment should be done as early as possible and surgical repair with conversion to Roux-en-y gastric bypass is effective and safe.

Keywords

Laparoscopic sleeve gastrectomy; Gastric Leak; Roux-en-y gastric bypass

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