Gastric sleeve plication complications

Payam Rasouli The Author of Medical and Health Content
October 20, 2019
2023-09-26 22:24:38

What is a complication after gastric surgery?

How much weight can you lose with gastric plication?

What are the long term side effects of gastric sleeve?

What are the symptoms of a gastric sleeve leak?

Complications and Risks of Gastric Sleeve

There are two types of complications of gastric sleeve surgery: acute and chronic. Acute complications are ones that occur shortly after surgery and chronic issues are ones that arise or persist six months after the date of surgery. Acute complications include bleeding, pain, and blood clots.

Gastric sleeve, overall, is considered safe when compared to other commonly performed surgeries. Deaths from the procedure are rare, and when performed by a competent surgeon, the procedure has minimal complications. That said, complications, when they do happen, can range from minor annoyances to significant and potentially life-altering issues.

Over the past decade, with the improvement of surgical techniques and surgeons’ experience, the gastric sleeve has become an overall safe bariatric surgical procedure. However, complications can still occur during and after surgery.

Read more about : Bariatric surgery risks

Below are the main complications and risks of the gastric sleeve surgery:

. Leakage from the staple line – this is a rate but serious complication of the gastric sleeve surgery. The reported leak rate is between 0.7-3 percent. In Iran, we pay paramount attention to our surgical techniques to minimize all the complications.

. Stricture/stenosis – In the past, we had one stricture among our first 20 gastric sleeve procedures. We have not had any strictures within the past 5 years.

. Bleeding

. Blood Clot

. Heart Burn – This is a very controversial topic in bariatric surgery and the data from different centers is inconsistent. In our experience, most patients with heartburn before surgery see improvement of symptoms after surgery due to weight loss. Some patients may develop new heartburn, which is treatable with over-the-counter anti-acid medications, in most cases.

Read more about : Skin problems after bariatric surgery

. Nutrient or vitamin deficiency

. Weight Regain

After two years, about 1 out of every 20 gastric sleeve patients have gained back some weight from their low point.

At 5 years, the average gastric sleeve patient regains as much as 50% of the weight they lost. Just as bad, the more weight you gain back, the more likely your health problems are to return.

Read more about : Liposuction complication

The reasons for weight regain?

. Consuming calories in liquid form, such as protein shakes, pureed foods, smoothies, etc. Your new sleeve stomach works by making you feel full sooner when you eat. Since liquids don’t make you feel as full as solid foods, you’ll eat more and gain weight if you get your calories from liquids instead of solids.

. Overeating or eating the wrong things. This can stretch out the smaller gastric sleeve stomachs over time which will allow you to eat more and gain unwanted weight.

Remember, gastric sleeve is one of the best tools for weight loss, but it is only a tool. To avoid weight regain, you’ll need to eat the right foods and make the right lifestyle choices.

. Sagging Skin

For most obese patients, the skin has been stretched out for so long to accommodate the extra weight that it has lost its elasticity. Gastric sleeve surgery causes most patients to lose a lot of weight very quickly, and your skin simply can’t keep up.

The extra skin may be embarrassing. It can also cause several issues ranging from minor to severe, including:

. Hard time getting dressed

. Uncomfortable to exercise

. Skin problems, such as rashes and infections

In some cases, patients manage sagging skin with body-contouring undergarments. In more serious cases, patients have plastic surgery to remove the excess skin.

. Digestive Issues

About 1 in every 5 patients experience Gastroesophageal reflux disease (GERD) in the first 12 months. The good news is that this tends to be a shorter-term issue. After 3 years, the GERD rate drops to around 3% of patients.

Other potential digestive issues resulting from gastric sleeve surgery include:

. Indigestion (Dyspepsia)

. Gallstones

. Developing an intolerance to some food types

. Vomiting or nausea

. Vitamin deficiency

These digestive issues can often be addressed and fixed with diet and behavior changes.

What is gastric plication surgery?

Laparoscopic gastric plication is a newer minimally invasive weight-loss surgery technique that reduces the size of the stomach capacity to approximately three ounces. … It is a restrictive weight-loss surgery, meaning that it restricts the amount of food the stomach can hold.

What is a mini gastric bypass?

Mini Gastric Bypass (MGB) Mini gastric bypass surgery (MGB) is a laparoscopic weight loss surgery that can be revised. … This placement bypasses the part of the intestines that allows for less nutrients, calories, and fats to be absorbed by the body, causing weight loss. MGB is a mal-absorptive and restrictive procedure.

What is duodenal switch weight loss surgery?

Bilio-pancreatic diversion with duodenal switch (also called Duodenal switch, or BPD-DS) is a complex procedure that induces weight loss by a sleeve gastrectomy and intestinal bypass. … Duodenal switch results in the greatest, most reliable and longest lasting weight loss of all the weight loss procedures.

What is the CPT code for gastric sleeve?

43775 Coding Clarification: Utilize CPT code 43775 to report laparoscopic sleeve gastrectomy rather than the unlisted CPT code 43659. Obesity and weight are defined clinically using the Body Mass Index (BMI). Obesity is a significant health concern due to its high prevalence and associated health risks.

What is diaphragm plication surgery?

Diaphragm paralysis is typically due to damage to the phrenic nerve; eventration is most commonly congenital. Surgical plication to stabilize the diaphragm is needed to prevent the lungs from ballooning outward during expiration (breathing out), the opposite of normal function.

What is a plication?

Plication of the diaphragm is a surgical procedure that has been performed since the 1920s for the treatment of diaphragmatic paralysis. … Since its original description, diaphragm plication has been performed with numerous modifications, including the minimally invasive video-assisted thoracic surgery (VATS) approach.

Which is better gastric sleeve or bypass?

A new stomach pouch is created by making a small or large incision in the abdomen. Like vertical sleeve gastrectomy, it causes you to feel full for a long period after eating only a small portion of food. The main difference is that gastric bypass bypasses part of the digestive track whereas sleeve gastrectomy doesn’t.

What’s the minimum weight for gastric bypass?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

Can I have duodenal switch after gastric sleeve?

The duodenal switch, a combination of the gastric sleeve and a bypass of the intestines, however, has demonstrated the best weight loss. … Now, when sleeve patients require more weight loss, we can complete the duodenal switch.

What is the difference between gastric sleeve and duodenal switch?

During a gastric bypass, a surgeon shrinks the size of the stomach by making its upper portion into a smaller pouch and connecting that directly to the small intestine. In comparison, a duodenal switch involves “bypassing” much of the small intestine, where nutrients are absorbed.

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