Sleeve Gastrektominin Nadir Tanımlanan Bir Komplikasyonu; Kinkleşme

Amaç: Bu çalışmadaki amacımız sleeve gastrektominin nadir görülen bi komplikasyonuna vurguda bulunmaktır. Materyal ve Metot: Laparoskopik sleeve gastrektomi uygulanan 62 hastanın tamanına; pskiatri konsültasyonu, rutin biyokimya ve endokrinolojik testler, üst gastrointestinal sistem endoskopisi ve pulmoner fonksiyon testleri uygulandı. Standart cerrahi teknik uygulandı. Bulgular: 62 (43 kadın, 19 erkek) hastamızın tamamına sleeve gastrektomi uygulandı. Hastalarımızdan 4 (1 erkek, 3 kadın)’ü ameliyat sonrası 7. ve 10. günler arasında bulantı, kusma ve sıvı alım intoleransı ile başvurdu. Hastalara uygulanan oral kontrastlı skopilerde kinkleşme olduğu saptandı. Sonuç: Kinkleşme sleeve gastrektomi için bilinmesi gereken bir komplikasyondur. Postoperatif dönemde bu komplikasyonun yönetimi yerine engellemeye çalışılması gerekmektedir.

Anahtar Kelimeler:

kinkleşme, sleeve gastrektomi, kusma; komplikasyon

Kinking; A Rare Complication of Sleeve Gastrectomy

Aim: Our aim was to emphasize an uncommon complication of sleeve gastrectomy. Material and Method: Sixty-two morbidly obese patients underwent laparoscopic sleeve gastrectomy. All patients were required to have psychological, routine laboratory examination, upper gastrointestinal endoscopy, pulmonary function studies and a medical evaluation. All patients were preoperatively evaluated by a dietician. The procedure was performed by a standard technique. Results: A total of 62 patients (43 females, 19 males) underwent laparoscopic sleeve gastrectomy. Four of the 62 patients (1 male, 3 female) were admitted with a complaint of nausea, vomiting and liquid intolerans 7 to 10 days after discharge. Upper gastrointestinal contrast swallov study revealed “Kinking”of the remnant stomach. Conclusion: Kinking is a complication to be known and rather than management, prevention of this complication must be supplied by further efforts.

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