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263568

Advantages of Laparoscopic Sleeve Gastrectomy with Intraoperative Endoscopic Guidance

Article

Last updated: 30 Jan 2023

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Abstract

Background: For optimal safety following Laparoscopic Sleeve Gastrectomy (LSG), regular intraoperative endoscopy is recommended to prevent postoperative stenosis and gastric leak. Objective: The aim of the present study is to assess the advantage of using intraoperative endoscopic guidance during sleeve gastrectomy and its efficiency to decrease various complications. Patients and methods: A follow up case series study was conducted at Laparoscopic Gastrointestinal Surgery Unit, General Surgery Department of Zagazig University Hospitals. The study included 18 cases planned for laparoscopic sleeve gastrectomy. Results: Operative time ranged from 2 to 3 hours with mean of 2.19 hours. Concerning intraoperative complications, no patient had bleeding. One patient had leak which was corrected by reinforcement suture. Another patient had twisting which was corrected. Postoperatively, all patients did not develop leak, bleeding or obstructive symptoms. Two (11.1%) patients had postoperative vomiting which was corrected by prescribing antiemetics. There were no statistically significant associations between incidence of intra/postoperative complications and either age, weight, body mass index, operative time or comorbidities. Conclusion: Important complications after LSG, such as bleeding or even deadly ones like gastric leak, can be avoided with the help of an endoscope, which is used during the calibration of the gastric sleeve.  

DOI

10.21608/ejhm.2022.263568

Keywords

Laparoscopic sleeve gastrectomy, Intraoperative Endoscopic Guidance, leak, Bleeding

Authors

First Name

Sameh Mohamed

Last Name

Naguib

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First Name

Abdelrahman Mohamed Amin

Last Name

Sarhan

MiddleName

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Email

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Orcid

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First Name

Mohamed

Last Name

Negm

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Orcid

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First Name

Nuzha Saleh

Last Name

Abdulraheem

MiddleName

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Affiliation

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Email

nozhaalzwie@gmail.com

City

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Orcid

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First Name

Walid Abdelmawla Elsayed

Last Name

Ali

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Orcid

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-03

Publish Date

2022-10-01

Page Start

5,350

Page End

5,355

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_263568.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=263568

Order

189

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023