Elsevier

Surgery for Obesity and Related Diseases

Volume 8, Issue 1, January–February 2012, Pages 116-118
Surgery for Obesity and Related Diseases

Video case report
Stapling of orogastric tube during gastrojejunal anastomosis: an unusual complication after conversion of sleeve gastrectomy to laparoscopic Roux-en-Y gastric bypass

https://doi.org/10.1016/j.soard.2011.06.001Get rights and content

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Case report

A 47-year-old woman underwent laparoscopic sleeve gastrectomy in 2009 for morbid obesity. Two years after the primary surgery, she developed severe reflux symptoms requiring conversion to LRYGB.

The patient was brought to the operating room and placed on the operating table in the supine position. The abdominal cavity was accessed through a 1-cm supraumbilical incision in the left upper quadrant abdomen using an Optiview trocar (Ethicon Endo-Surgery, Cincinnati, OH). Accessory trocars were

Discussion

The increased number of bariatric procedures will be associated with an increase in the number of complications [1], [3], [4]. The creation of the GJ is a key element during LRYGB that can be associated with complications, such as stapler misfirings or orogastric tube complications [2]. The lack of an early diagnosis with proper management can be associated with severe postoperative morbidity.

Orogastric tube complications are infrequently reported. Even if these complications are managed

Conclusion

Stapling of the orogastric tube during bariatric surgery can be a dreadful, but preventable, complication. Surgeons who perform this challenging surgery have to be aware of the management of this complication. Despite performing high numbers of these procedures, this complication can occur, and surgeons need to maximize measures to prevent its occurrence.

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