Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases

Detalhes bibliográficos
Autor(a) principal: Costa, M
Data de Publicação: 2016
Outros Autores: Capela, T, Seves, I, Ribeiro, R, Rio-Tinto, R
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/2385
Resumo: Morbid obesity is an epidemic and complex disease which imposes a multidisciplinary approach. Laparoscopic sleeve gastrectomy has become a frequent procedure given its effi- cacy and safety compared to other surgical options. However, it isn’t free from complications. Lax gastric fixation or incorrect positioning of the stomach during surgery can result in early gastric outlet obstruction caused by a volvulus-like mechanism by rotation of the stomach around its anatomic axes. This report refers to two cases of post sleeve gastric torsion resulting in persisting vomiting after initiating oral intake. The diagnosis was confirmed by upper gastrointestinal-contrast study and gastroscopy. In both cases, a fully covered self-expandable metallic stentwas insertedwhich prompted the gastric lumen to become permeable resulting in symptomatic resolution. The stents were removed endoscopically aftertwo and three months. Beyond more than three years offollow-up,the patients remain asymptomatic and no recurring ‘‘stenosis’’ was noticed.In these cases the use offully covered self-expandable metallic stents demonstrated to be effective and safe in the treatment of post sleeve gastric torsion.
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spelling Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two CasesTratamento Endoscópico da Obstrução Gástrica Precoce Após Gastrectomia Tubular: Relato de Dois CasosCHLC GASCHLC CIREndoscopy, GastrointestinalGastrectomy/adverse effectsGastric ObstructionMorbid obesity is an epidemic and complex disease which imposes a multidisciplinary approach. Laparoscopic sleeve gastrectomy has become a frequent procedure given its effi- cacy and safety compared to other surgical options. However, it isn’t free from complications. Lax gastric fixation or incorrect positioning of the stomach during surgery can result in early gastric outlet obstruction caused by a volvulus-like mechanism by rotation of the stomach around its anatomic axes. This report refers to two cases of post sleeve gastric torsion resulting in persisting vomiting after initiating oral intake. The diagnosis was confirmed by upper gastrointestinal-contrast study and gastroscopy. In both cases, a fully covered self-expandable metallic stentwas insertedwhich prompted the gastric lumen to become permeable resulting in symptomatic resolution. The stents were removed endoscopically aftertwo and three months. Beyond more than three years offollow-up,the patients remain asymptomatic and no recurring ‘‘stenosis’’ was noticed.In these cases the use offully covered self-expandable metallic stents demonstrated to be effective and safe in the treatment of post sleeve gastric torsion.Sociedade Portuguesa de GastroenterologiaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPECosta, MCapela, TSeves, IRibeiro, RRio-Tinto, R2016-02-10T17:20:36Z20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2385engGE Port J Gastroenterol. 2016; 23 (1): 46-49info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:36:43Zoai:repositorio.chlc.min-saude.pt:10400.17/2385Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:44.535654Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
Tratamento Endoscópico da Obstrução Gástrica Precoce Após Gastrectomia Tubular: Relato de Dois Casos
title Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
spellingShingle Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
Costa, M
CHLC GAS
CHLC CIR
Endoscopy, Gastrointestinal
Gastrectomy/adverse effects
Gastric Obstruction
title_short Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
title_full Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
title_fullStr Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
title_full_unstemmed Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
title_sort Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases
author Costa, M
author_facet Costa, M
Capela, T
Seves, I
Ribeiro, R
Rio-Tinto, R
author_role author
author2 Capela, T
Seves, I
Ribeiro, R
Rio-Tinto, R
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Costa, M
Capela, T
Seves, I
Ribeiro, R
Rio-Tinto, R
dc.subject.por.fl_str_mv CHLC GAS
CHLC CIR
Endoscopy, Gastrointestinal
Gastrectomy/adverse effects
Gastric Obstruction
topic CHLC GAS
CHLC CIR
Endoscopy, Gastrointestinal
Gastrectomy/adverse effects
Gastric Obstruction
description Morbid obesity is an epidemic and complex disease which imposes a multidisciplinary approach. Laparoscopic sleeve gastrectomy has become a frequent procedure given its effi- cacy and safety compared to other surgical options. However, it isn’t free from complications. Lax gastric fixation or incorrect positioning of the stomach during surgery can result in early gastric outlet obstruction caused by a volvulus-like mechanism by rotation of the stomach around its anatomic axes. This report refers to two cases of post sleeve gastric torsion resulting in persisting vomiting after initiating oral intake. The diagnosis was confirmed by upper gastrointestinal-contrast study and gastroscopy. In both cases, a fully covered self-expandable metallic stentwas insertedwhich prompted the gastric lumen to become permeable resulting in symptomatic resolution. The stents were removed endoscopically aftertwo and three months. Beyond more than three years offollow-up,the patients remain asymptomatic and no recurring ‘‘stenosis’’ was noticed.In these cases the use offully covered self-expandable metallic stents demonstrated to be effective and safe in the treatment of post sleeve gastric torsion.
publishDate 2016
dc.date.none.fl_str_mv 2016-02-10T17:20:36Z
2016
2016-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/2385
url http://hdl.handle.net/10400.17/2385
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv GE Port J Gastroenterol. 2016; 23 (1): 46-49
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Gastroenterologia
publisher.none.fl_str_mv Sociedade Portuguesa de Gastroenterologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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