Kafkas Journal of Medical Sciences

2146-2631 2587-053X

Kafkas University

Sleeve Gastrektominin Nadir Tanımlanan Bir Komplikasyonu; Kinkleşme

Kinking; A Rare Complication of Sleeve Gastrectomy

Ünver

Mutlu

İzmir Medicalpark Hospital, General Surgery Department

08 01 2018

8 2 99 102 10 31 2016 05 11 2018

2011

Kafkas Journal of Medical Sciences

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

Aim: Our aim was to emphasize an uncommon complication ofsleeve gastrectomy.Material and Method: Sixty-two morbidly obese patients underwent laparoscopic sleeve gastrectomy. All patients were requiredto have psychological, routine laboratory examination, upper gastrointestinal endoscopy, pulmonary function studies and a medicalevaluation. 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) underwentlaparoscopic sleeve gastrectomy. Four of the 62 patients (1 male,3 female) were admitted with a complaint of nausea, vomitingand liquid intolerans 7 to 10 days after discharge. Upper gastrointestinal contrast swallov study revealed “Kinking”of the remnantstomach.Conclusion: Kinking is a complication to be known and ratherthan management, prevention of this complication must be supplied by further efforts.

kinkleşme sleeve gastrektomi kusma; komplikasyon

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