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conferenceseries .com
Volume 7, Issue 7 (Suppl) J Obes Weight Loss Ther, an open access journal
ISSN:2165-7904 Obesity & Fitness Expo 2017
November 13-15, 2017
November 13-15, 2017 | Atlanta, USA 17th World Fitness Expo
16th International Conference and Exhibition on
Obesity & Weight Management
&
Intraoperative, early and late complications of laparoscopic sleeve gastrectomy
Rohit Kumar
International Modern Hospital, UAE
Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance among bariatric surgeons as a viable option for treatingmorbidly obese
patients. This study describes results of a single surgeon’s experience with LSG, its intra-operative, early and late complications
and their management. The author retrospectively reviewed the data of patients who underwent LSG from 2006 to 2015. Patients
underwent LSG as a primary procedure or as revisional bariatric surgery. The short-term morbidity and mortality were examined.
All patients entering our practice, requesting bariatric surgery, were offered three procedure options: Laparoscopic gastric bypass,
adjustable gastric banding and LSG. After a one-on-one consultation with the surgeon, the patients made an informed decision to
undergo LSG and an informed consent was obtained. All patients were required to undergo a psychological screening, routine labs,
electrocardiogram, upper gastrointestinal X-rays, pulmonary function studies and a medical evaluation. All patients were scheduled
for LSG as a primary definitive procedure. All patients received intravenous antibiotics, subcutaneous unfractionated heparin and
sequential compression devices preoperatively. One-stage LSG was performed. The major complications were late leakage after 4
weeks with hemorrhaging. Two patients required reoperation and one patient was treated conservatively. Furthermore, one patient
had complete dysphagia and was treated conservatively. Moreover, one patient who had an injury to the lower esophagus was re-
operated, intra-operatively. One patient had mesenteric injury; another patient had an NG tube stapled, while a third patient’s GE
junction blew up because the balloon was inflated while doing the leak test. In addition, the serosal layer of 10 patients came off while
firing the first stapler. However, in spite of the presence of many such complications, only one case was aborted. In conclusion, LSG
is a relatively safe surgical option for weight loss as a primary procedure.
Biography
Rohit Kumar has a vast experience in the fields of bariatric, gastrointestinal and general surgery. He is currently working at International Modern Hospital Dubai, UAE. He
has undergone training in Laparoscopic Bariatric Surgery at Sir Ganga Ram Hospital, Advanced Laparoscopic Training in Greece and has done a Fellowship in Hepatobi-
liary and Pancreatic Surgery in Japan. He has, amongst his patients, a host of dignitaries, leaders and foreign nationals. His areas of clinical interests include laparoscopic
adjustable gastric banding, laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass, lap cholecystectomy, laparoscopic appendix, laparoscopic hiatus
hernia, laparoscopic splenectomy, laparoscopic nephrectomy, laparoscopic colectomy, laparoscopic low anterior resection, laparoscopic gastrectomy, hepato-biliary and
pancreatic surgery, laparoscopic inguinal hernia repaired and laparoscopic esophagectomy. His special interests lie in minimal access bariatric surgery and gastrointestinal
surgery.
Rohit Kumar, J Obes Weight Loss Ther 2017, 7:7 (Suppl)
DOI: 10.4172/2165-7904-C1-54