Evaluation of the role of Computed tomography in detection of complications after laparoscopic sleeve gastrectomy

Abstract

Abstract Aim Obesity is a significant global health care issue with a huge impact on individuals' well being. Sleeve gastrectomy is a surgical procedure involving the resection of part the stomach leading to reduction in its volume resulting in reduced food intake and weight loss. The objective of our study is to ascertain whether a routine postoperative CT scan is an effective tool for early detection of complications post LSG or notMethods A retrospective descriptive study conducted in a single tertiary center hospital in Jeddah, Saudi Arabia through a period of three months from January to March 2022. Only those patients who had done a sleeve-gastrectomy plus post-operative computed tomography scan were included.Results A total of 112 patients were a part of this study. Among the included patients, 73 (65.2%) were females, and 39 (34.8%) were males, with a mean age of 36.2 [14–70] years; furthermore, the mean body mass index of those patients was shown to be 46.3 [29–77] kg/m2. For surgical complications, 18 (16.1%) cases of anastomotic leaks were radiologically diagnosed making it the most frequent type of surgical complications. Morbidity according to non-surgical complications includes atelectasis, which was diagnosed in 33.9% (38) (of the patients in contrast to cases of pleural effusions which were less occurring in 23.2% (26) of the patients.Conclusion In summary, among our studied cohort, we found that the most commonly detected surgical complication using CT post sleeve gastrectomy was anastomotic leaks, whereas the most non-surgical complication was found to be atelectasis