RE-EXPLORATION FOLLOWING LAPAROSCOPIC SLEEVE GASTRECTOMY

Authors

Jeffrey L. Zitsman MDFollow
Arun Thenappan MD
Daniel Relles MD, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

4-2018

Abstract

A 16 year old female with severe obesity underwent 6 months of multidisciplinary evaluation, after which she was offered laparoscopic sleeve gastrectomy. At surgery, peritoneal access was obtained using a 5mm non-cutting optical port. Sleeve gastrectomy was performed using a 40Fr bougie and multiple staple firings with bioabsorbable staple line reinforcement.

On the second post-operative day she was noted to have a low grade fever and low urine output. Her physical exam was otherwise unremarkable and her wbc = 12,900. That evening a computed tomograph of the abdomen with oral contrast showed pneumoperitoneum, no extravisation of contrast from the gastric sleeve, and thickened bowel loops in the left upper abdomen. The following morning she complained of mild diffuse abdominal pain and return to the operating was carried out. At repeat laparoscopy she was found to have a through-and-through injury to the proximal small intestine. The bowel was repaired primarily.

Comments

Abstract# QV101

IPEG Program

Published In/Presented At

Zitsman, J. Thenappan, A. Relles, D. (2018, April 11-14). RE-EXPLORATION FOLLOWING LAPAROSCOPIC SLEEVE GASTRECTOMY. Poster Presented at: The IPEG's27th Annual Congress for Endosurgery in Children, Seattle, Washington.

Disciplines

Pediatrics | Surgery

Department(s)

Department of Pediatrics, Department of Pediatrics Faculty, Department of Surgery, Department of Surgery Faculty

Document Type

Poster