TITLE:
Superior and Inferior Gastric Pouch Dilatation Post-Sleeve Surgery: Does Revision Work? A Systematic Review and Case Reports
AUTHORS:
Khalid Al Khalifa, Fatima AlSaad, Budoor Al Musaifer, Anwar Al-Mansoor, Ahmed Al Ansari
KEYWORDS:
LSG, Gastric Pouch Dilatation, BMI, Revision Surgery
JOURNAL NAME:
Surgical Science,
Vol.5 No.11,
November
6,
2014
ABSTRACT: Longitudinal sleeve
gastrectomy (LSG) has become an acceptable option in the management of morbidly
obese patients. Complications in the form of pouch dilatation may occur in
post-sleeve surgery. However, revision sleeve gastrectomy procedures are
effective in correcting such complications. The aim of this study was to
systematically review all published cases that reported revision surgeries
following the initial sleeve gastrectomy complicated by pouch dilatation. In
addition, we are presenting two cases reported from our military/teaching
hospital. A systematic literature search was conducted from English-language
studies published from 2000 to 2014 from the following databases: PubMed,
CINAHL, MEDLINE, EMBASE, Clinical evidence, Dara, Scopus, Web of Sciences, TRIP,
Health Technology Database, Cochrane library, and Psych INFO. A total of 5340
articles were identified in the initial search and 5339 articles were excluded
based on the exclusion criteria. Only one case study met the inclusion criteria
for this systematic review, involving two patients. Also, we are reporting two
cases with revision surgery performed for pouch dilatation post-sleeve surgery
from our teaching hospital.There
was only one study that reported revision surgery as a management of gastric pouch
dilatation post-sleeve surgery. Authors believe that the incidence of revision
surgery for the management of pouch dilatation post-sleeve surgery is higher
but underreported. This assumption may be valuable, especially because some
surgeons consider pouch dilatation post-sleeve surgery a complication that
arises due to surgical technique rather than the procedure itself; therefore,
it is unreported.