Postoperative Stomach Volvulus and Pancreatitis Following a Sleeve Gastrectomy.

Authors

Shane B Devine, Philadelphia College of Osteopathic Medicine
Sam J King, Philadelphia College of Osteopathic Medicine
Bradley J Chatterton, Philadelphia College of Osteopathic Medicine
Kurt D Knepley, Philadelphia College of Osteopathic Medicine

Document Type

Article

Publication Date

12-1-2023

Abstract

The laparoscopic sleeve gastrectomy is the most common bariatric surgery performed to promote weight loss and improve obesity-related comorbidities. As the number of patients undergoing sleeve gastrectomy increases, so does the prevalence of complications. It is crucial to recognize both common and unusual complications of sleeve gastrectomy to properly diagnose and manage them. We present a unique case of gastric outlet obstruction not visualized on initial imaging and acute pancreatitis following a sleeve gastrectomy. We recommend performing an endoscopy and ordering serum lipase levels in a patient with negative CT scans but persistent postoperative nausea, vomiting, and abdominal pain. The management of postoperative gastric outlet obstruction includes supportive care, balloon dilation of the stenotic area, or gastric bypass if symptoms persist.

Comments

This article was published in Cureus, Volume 15, Issue 12.

The published version is available at https://doi.org/10.7759/cureus.51118.

Copyright © 2023 Devine et al. CC BY 4.0.

Publication Title

Cureus

Recommended Citation

Devine, Shane B; King, Sam J; Chatterton, Bradley J; and Knepley, Kurt D, "Postoperative Stomach Volvulus and Pancreatitis Following a Sleeve Gastrectomy." (2023). Internal Medicine Resident Research. 7.
https://digitalcommons.pcom.edu/internal_medicine_residents/7 DOI: https://doi.org/10.7759/cureus.51118

PubMed ID

10.7759/cureus.51118