World Journal of Laparoscopic Surgery

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VOLUME 14 , ISSUE 3 ( September-December, 2021 ) > List of Articles


Endoscopic Management of Two Sites of Stenosis Post-laparoscopic Re-sleeve Gastrectomy and Acute Pancreatitis

Mohammad A Alhaijawi, Ibrahim Alonazi, Khatoon Alakrawi, Fatima Ali, Wassim A Yassine, Mohammed Alaqeel

Keywords : Adhesions, Endoscopic pneumatic balloon dilation, Morbid obesity, Pancreatitis post-sleeve gastrectomy, Two sites of stenosis post-sleeve gastrectomy

Citation Information : Alhaijawi MA, Alonazi I, Alakrawi K, Ali F, Yassine WA, Alaqeel M. Endoscopic Management of Two Sites of Stenosis Post-laparoscopic Re-sleeve Gastrectomy and Acute Pancreatitis. World J Lap Surg 2021; 14 (3):227-229.

DOI: 10.5005/jp-journals-10033-1463

License: CC BY-NC 4.0

Published Online: 05-03-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Sleeve gastrectomy is a commonly performed bariatric procedure that is complicated by stricture formation in approximately 0.5% of cases. Gastric sleeve surgery adverse events, which can result in strictures and leaks, are increasingly managed through a minimally invasive endoscopic approach. Endoscopic treatment with pneumatic balloon dilation and stent insertion has repeatedly proven to be effective and safe as the first line of management for this complication as in our case with two sites of stenosis and twisting because of severe adhesions due to previous scar tissue and acute pancreatitis. Surgical intervention should be considered only after the failure of endoscopic treatment.

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