DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20221991
Published: 2022-07-27

Late gastric twist after laparoscopic sleeve gastrectomy

Elsa Paulina Alonso Lopez, Cesar Manuel Vargas Sahagun, Cesar Antonio Martinez Ortiz

Abstract


Gastric sleeve twist is a rare complication, with an incidence of 1.2%. Its symptomatology is not very specific, making its diagnosis difficult to establish. Its timely treatment by endoscopy and/or surgery has shown excellent short- and long-term results. We present an infrequent and rare case of late gastric torsion 10 years after a laparoscopic gastric sleeve, which was resolved with surgical treatment with conversion to Laparoscopic Roux-en-Y Gastric Bypass with excellent results.


Keywords


Gastric sleeve twist, Gastric volvulus, Gastric bypass, Obesity

Full Text:

PDF

References


Elgazar A, Elbadawy A, Awad K. Gastric Volvulus after laparoscopic sleeve gastrectomy managed by conversion to Roux-en-Y gastric bypass. A case report and literature review. Int Jour Surg Case Reports. 2021:89;106609.

Sabry K, Gamry Y, Abd-El Aziz B. Gastropexy as primary approach in the managment of post-sleeve gastric twist. Egyptian J Surg. 2022:40;1006-12.

Gupta P, Khan S, Thusso T. Should Gastric Sleeve be Fixed? Torsion of Gastric Sleeve after Laparoscopic Sleeve Gastrectomy: A Case Report. Open Access J Surg. 2017;2(3):555588.

Saikaly E, Fadel F, Asmar A. Gastric Twist after Laparoscopic Sleeve Gastrectomy, Diagnosis and Management: A Case Series and Discussion. Diabetes Obes Int J. 2017;2(3):000159.

Nehma W, Gharios J, Alameh A. A Single Suturing Cancels the Twist. J Obes Weight Loss Ther. 2018;8:5

Subhas G, Gupta A, Sabir M. Gastric remnant twist in the immediate post-operative period following laparoscopic sleeve gastrectomy. World J Gastrointest Surg. 2015;7(11):345-8.

Abdallah E, Hany S, Elfeki H. Laparoscopic Sleeve Gastrectomy with or without staple line inversion and distal fixation to the transverse mesocolon: Impact on early postoperative outcomes. Obes Surg. 2017;27(2): 323-9.

Mohamed E, Abbas A, El Nakeeb A. Managment options for twisted gastric tube after laparoscopic sleeve gastrectomy. Obes Surg. 2017;27:2404-9.

Sarno G, Calabrese P, Tramontano S. Twisted gastric tube after laparoscopic sleeve gastrectomy-An unusual but effective surgical approach to achieve full recovery. J Clin Med. 2022;11:2304.

Hernandez C, Garcia P, Rabaza J. Laparoscopic management of gastric torsion after sleeve gastrectomy. CRSLS. 2014;00143.

Giménez C, González F, Albarracín A. Torsión de la gastrectomía vertical: dos formas de presentación clínica. Rev Esp Enferm Dig. 2019;111(12): 976.