Evaluation of early complications after laparoscopic sleeve gastrectomy for the treatment of morbid obesity

Abstract

Background Laparoscopic sleeve gastrectomy (LSG) nowadays is one of the most popular operations for the treatment of morbid obesity. It has good effect in weight reduction and has less complications. The most common complications include leakage, hemorrhage, splenic injury, gastric stenosis, and gastroesophageal reflux. Aim To evaluate our experience in LSG in the management of morbid obesity as regards intraoperative and early postoperative complications. Patients and methods One hundred and fifty patients with morbid obesity and/or obesity-related comorbidities were included in this study. Their BMI range from 35 to 60 kg/m2 and were managed at Al-Zahraa University Hospital from July 2015 to June 2018. Preoperative demographic data, operative procedure, intraoperative, and short-term follow-up results of LSG are analyzed. Results LSG was performed successfully on 149 cases while conversion to open was done in one case due to intraoperative bleeding. The mean operative time was 105±25 min. The mean postoperative hospital stay was 4 days (3–10 days). There was no intraoperative mortality but in two cases mortality was recorded in the postoperative period. Hemorrhage in 1.3%, leakage in 2%, and other complications such as vomiting in three cases and pulmonary embolism in one case were recorded. Conclusion LSG safe operation in the management of morbid obesity and the hazards of its complications can be avoided if diagnosed early and managed well. Leakage is the most serious complications which may end by death if not probably treated.