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Sleeve gastrectomy may cause complications; some of them are listed below: Sleeve leaking (occurs 1 in 200 patients) Blood clots (happens 1% of the time) Wound infections (occurs in about 10 to 15% of post-op patients) Strictures (occurs in 3.5% of post-op patients) [20] Aversion to food, and nausea [21]
Late complications: They include gastric stenosis, nutrient deficiencies, and Gastroesophageal reflux disease. For gastric stenosis, the symptoms are food intolerance and vomiting. [42] For the gastroesophageal reflux disease, which due to post-surgery changes of reduced lower esophageal sphincter tension and increased intragastric pressure.
The SADI-S is a single anastomosis bariatric surgery. It is different from the classic duodenal switch, the gastric bypass (RNY) or sleeve gastrectomy.It is a type of bariatric surgery carried out to lose weight and to mitigate various metabolic issues including type 2 diabetes, dislipidemia, metabolic syndrome, and polycystic ovary syndrome.
Most will resolve within one week after ESG. Due to the minimally invasive nature of ESG, serious complications are rare. These include pain or nausea requiring hospitalization (1.08%); upper gastrointestinal tract bleeding (0.56%); peri-gastric leak or infected fluid collection (0.48%); pulmonary embolism (0.06%); perforation (0.06%). [23]
An anastomotic leak is a fault in the surgical connection between the two remaining sections of bowel after a resection is performed. This allows the bowel contents to leak into the abdomen. Anastomotic leaks may cause infection, abscess development, and organ failure if untreated. Surgical steps are taken to prevent leaks when possible.
Vitamin B 12 deficiency is quite common after gastric bypass surgery with reported rates of 30% in some clinical trials. [journal 13] Sublingual B 12 (cyanocobalamin) appears to be adequately absorbed. In cases where sublingual B 12 does not provide sufficient amounts, injections may be needed. Protein malnutrition is a real risk.
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