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Science Letters  ISSN 2311-3219
2017 | Volume 5 | Issue 2  | Pages 167-172

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Case report
Conservative Management: Best Option For the Treatment of Gastric Leak Following Laparoscopic Sleeve Gastrectomy: Three Case Series
Sachin Bhagat, Maying Zhang, Birendra Kumar Yadav, Jiangfan Zhu*

Bariatric and Metabolic Surgery, East Hospital, Tongji University School of Medicine, 200120, Shanghai, China

Abstract
Laparoscopic sleeve gastrectomy (LSG) is the most commonly used bariatric procedure and has similar outcomes in weight loss and metabolic syndrome improvement compared to other procedures. Although, LSG is considered as a simple and safe procedure, it does have some complications. Among various complications, the gastric leak is the most feared and dreadful complication following LSG. In this article, we have discussed the successful recovery of three patients having a post-LSG gastric leak. The suspicion for its diagnosis included patients having symptoms of tachycardia and high fever along with left shoulder pain. The diagnosis was confirmed using contrast X-ray and CT scans. All the three cases had common leak site at the gastroesophageal junction. The gastric leak is usually of minute size; it does not need any aggressive management of undergoing surgery and can be effectively managed with conservative treatment. The main treatment principles for gastric leak after LSG should be effective drainage, decompression, enteral nutrition and medications with fewer intervention procedures.




A R T I CL E  I N F O

Received
February 06, 2017
Accepted
April 15, 2017
Abstract Published
May 04, 2017
Manuscript Published
August 15, 2017

*Corresponding Author
  Jiangfan Zhu
E-mail
zhujiangfan@hotmail.com
Phone
+86-13818060386

Keywords
Bariatric surgery
Gastric leak
Laparoscopic sleeve gastrectomy
Morbid obesity