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conferenceseries.com
Volume 8 Journal of Obesity & Weight Loss Therapy Obesity Middle East 2018
June 25-26, 2018
June 25-26, 2018 Dubai, UAE
Middle East Obesity, Bariatric Surgery
and Endocrinology Congress
Acute pancreatitis after laparoscopic sleeve gastrectomy: An unusual complication
Biswanath Gouda
Gouda Speciality Clinic & Somaiya Superspeciality Hospital, India
Introduction: Sleeve gastrectomy is the most preferred bariatric procedure done for weight loss across the globe. Staple line
leak, bleeding, peritonitis and stricture forms the major complications that has been reported after sleeve gastrectomy. Acute
pancreatitis is a rare form of complication seen in our practice, that needs to be kept in mind while undertaking bariatric
surgery and treating morbid obesity.
Case Summary: A38 year’s oldmarried femalewithBMI of 41 kg/m2 having diabetesmellitus, hypertension andhypothyroidism
underwent uneventful laparoscopic sleeve gastrectomy. She was discharged on the second post-operative day with normal vitals
and negative leak study. She was tolerating clear fluids till post-operative day 10. Then she started having nausea with non-
projectile vomiting and low-grade fever. Except raised serum amylase and lipase levels, rest of her bio-chemical laboratory tests
was within normal range. Her ultrasound report showed mild edematous pancreas around the mid-body, with no collection
or necrosis. We treated her conservatively with i.v fluids, antiemetic’s, S/C Octreotide and she settled down in a week. She is
currently 6 months post surgery and has no similar events to report.
Conclusion: We conducted a search on similar cases of acute pancreatitis post bariatric surgery and found very few cases has
been reported. The overall incidence of acute pancreatitis post bariatric surgery is 1.04% which is higher than that reported
for the general population (0.017%). Hence bariatric surgeons should be more cautious, aware of such complications and take
appropriate consent prior to the surgery.
Biography
Biswanath Gouda is a well-trained Advanced Laparoscopic GI & HPB Surgeon based in Mumbai, India. He has completed Fellowship in Advanced Laparoscopic
Surgery from Scripps Clinic, San Diego, USA and from Institute of Laparoscopic Surgery, Bourdeaux, France with JL Dulucq. He is one of the few surgeons from
India to have completed International Laparoscopic Hepato-biliary Pancreatic Surgery Fellowship under Brice Gayet, Paris, France. His clinical interest is in providing
accessible health care to morbid obese patients in India, creating more acceptable norms for bariatric surgery and reducing childhood obesity.
Biswanath Gouda, J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C3-063