Journal of Gastrointestinal & Digestive System
Open Access

Abstract

Background: The prevalence of obesity has increased worldwide and in Saudi Arabia, the obesity affecting 30% of the population has led to increase the number of bariatric surgery. Since obese patients lack the physiological reserve as ideal weight patients, which can lead to rapid deterioration, there exist a unique risk to these patient that still present a significant concern in clinical practice. Methods: Four case scenarios will be discussed: Three cases of leak post sleeve gastrectomy with three different clinical presentations and different approaches of management, one of cases referred from outside facility and; a fourth case of minigastric by-pass was referred with afferent loop obstruction that are managed laparoscopically during same admission. Conclusion: Early detection and diagnosis is important for good outcome. Adequate pre-operative planning with optimization of nutritional status with control of local and systemic sepsis is paramount of ultimate success.

Biography

Email: basmahfallatah@ yahoo.com