Most Downloaded Articles

   
 
CASE REPORT
Sanjay Patolia, Ibrahim Hazza

Laparoscopic Management of Stomach Sleeve Obstruction after Sleeve Gastrectomy

[Year:2017] [Month:January-April] [Volumn:10 ] [Number:1] [Pages:43] [Pages No:40-43][No of Hits : 1704]


ABSTRACT

Introduction: Stomach sleeve obstruction can occur after sleeve gastrectomy (SG). It results in absolute intolerance to liquid and food intake. The obstruction of sleeve may be because of stomach torsion, twisting, kinking, folding, adhesions, and stenosis/narrowing.
We present a case report of two patients with absolute intolerance to liquid intake because of sleeve obstruction. The reason for obstruction was folding, twisting, and partial torsion of the stomach sleeve after SG.

Case/technique description: Two patients with absolute intolerance to liquid intake were received on day 5 and on day 12 after undergoing primary laparoscopic SG.
The endoscopy findings were similar in both the cases. It was not possible to reach pylorus without great difficulty and high level of maneuverability.
The laparoscopic findings were twisting and partial torsion due to laxity of the sleeve. Gastropexy was done in both the cases. The recovery in terms of excellent tolerance for liquid intake was immediate and that too without recurrence.

Discussion: The distal passage for food and liquid in the lumen of the sleeve should remain very smooth. The lumen can accept arrival of the Ryle’s tube or gastric calibration tube up to antrum without any great assistance. This will not be possible in case of improper architecture of the crafted sleeve. The design of the sleeve may be improper from the beginning or it may mutate because of abnormal adhesion at any time during postoperative course. Symptoms and endoscopic findings are diagnostic of the problem. Laparoscopic correction of the architecture of the sleeve by doing adhesiolysis and gastropexy is successful.

Keywords: Gastric sleeve kinking, Gastric sleeve obstruction, Gastric sleeve twisting, Gastric torsion, Gastric volvulus, Gastropexy, Sleeve gastrectomy.

How to cite this article: Patolia S, Hazza I. Laparoscopic Management of Stomach Sleeve Obstruction after Sleeve Gastrectomy. World J Lap Surg 2017;10(1):40-43.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Shalmali Alva

Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass Surgery in Obese and Morbidly Obese Patients

[Year:2017] [Month:September-December] [Volumn:10 ] [Number:3] [Pages:58] [Pages No:129-132][No of Hits : 1012]


ABSTRACT

The review article deals with the comparison between the procedures of laparoscopic sleeve gastrectomy (LSG) vs laparoscopic Roux-en-Y gastric bypass (LRYGB) in the morbidly obese/obese patient subset. Given that the bariatric surgery deals not only with the weight loss of the patient, but also the accompanying myriad systemic and metabolic manifestations, this comparison was made to look into any prominent differences in the outcome of patients including postoperative sequelae. The studies were taken from reputed institutes across the world that were sourced from Medline and Cochrane Central and PubMed, which compared these two procedures on their patient groups and also followed up to a maximum period of 5 years for improvement on overall health parameters. The two procedures have shown fairly comparable results with regard to improvement in metabolic and hormonal parameters and LRYGB as better than LSG in long-term excessive weight loss in the follow-up phase of up to 5 years.

Keywords: Excessive weight loss, Laparoscopic Roux-en-y gastric bypass, Laparoscopic sleeve gastrectomy, Morbid obesity.

How to cite this article: Alva S. Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-y Gastric Bypass Surgery in Obese and Morbidly Obese Patients. World J Lap Surg 2017;10(3):129-132.

Source of support: Nil

Conflict of interest: Nil


 
RESEARCH ARTICLE
Rebecca Bagadia, Vishwa Kanabar

Can Laparoscopic Chromopertubation with Methylene Blue Dye cause Anaphylactic Reactions like Pulmonary Edema?

[Year:2017] [Month:May-August] [Volumn:10 ] [Number:2] [Pages:36] [Pages No:51-53][No of Hits : 989]


ABSTRACT

Diagnostic laparoscopy has been performed ever since interests in infertility and fertility have developed. Methylene blue is administered to check tubal patency during the procedure. Extravasation of methylene blue is a recognized complication of diagnostic laparoscopy and chromopertubation. Anaphylaxis and anaphylactic reactions in the perioperative period are a significant concern for surgeons and anesthesiologists. The incidence is as high as 1 in 3,500 with a mortality rate of 3 to 6%.16 There are no relevant literature or research article that provides sufficient data or guidelines for determining the nature of these reactions, mode of treatment algorithm, or the certain specifications we should consider before performing the procedure. This is a review literature for performing a safe practice evaluation and management.

Keywords: Allergy hypersensitivity, Anaphylaxis, Chromopertubation, Methylene blue, Perioperative, Pulmonary edema.

How to cite this article: Bagadia R, Kanabar V. Can Laparoscopic Chromopertubation with Methylene Blue Dye cause Anaphylactic Reactions like Pulmonary Edema? World J Lap Surg 2017;10(2):51-53.

Source of support: Nil

Conflict of interest: None