Checklist #25: Diagnosis and Management of Strictures after Laparoscopic Sleeve Gastrectomy

by Raul J. Rosenthal, MD, FACS, FASMBS; Samuel Szomstein, MD, FACS, FASMBS; and  Emanuele Lo Menzo, MD, PhD, FACS, FASMBS

Column Editor

Raul J. Rosenthal, MD, FACS, FASMBS
Clinical Editor, Bariatric Times, Professor of Surgery and Chairman, Department of General Surgery; Director, The Bariatric and Metabolic Institute; Director, General Surgery Residency Program and Fellowship in Minimally Invasive and Bariatric Surgery, Cleveland Clinic Florida, Weston, Florida

Column Co-editors

Samuel Szomstein, MD, FACS, FASMBS
Associate Director of the Bariatric Institute and Section of Minimally Invasive Surgery at the Cleveland Clinic in Weston, Florida, and Clinical Associate Professor of Surgery, Florida International University

E. Lo Menzo MD PhD FACS FASMBS
Staff Surgeon, The Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic Florida, Weston, Florida.

Welcome to “Checklists in Bariatric Surgery.” This column’s aim is to help bariatric surgeons quickly review the reasons for potential problems when caring for bariatric patients.

This month’s Checklist focuses on strictures after laparoscopic sleeve gastrectomy (LSG), which occurs in 0.26 to 4 percent of procedures. Most strictures are located at the incisura angularis.

We present this 25th installment of “Checklists” based on peer-reviewed publications, which might help our readers communicate better and treat patients expeditiously. We hope you clip and save this convenient checklist and find it useful as a reference tool in your everyday practice. Please stay tuned for more checklists in upcoming issues of Bariatric Times.

View the Checklist in the digital edition HERE.

References
1.    Bellorin O, Lieb J, Szomstein S, Rosenthal RJ. Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass for acute gastric outlet obstruction after laparoscopic sleeve gastrectomy for morbid obesity. Surg Obes Relat Dis. 2010;6(5):566–568.
2.    Rosenthal R, International Sleeve Gastrectomy Expert Panel, International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of > 12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.
3.    Dapri G, Cadiére G, Himpens J, Laparoscopic seromyotomy for long stenosis after sleeve gastrectomy with or without duodenal switch. Obes Surg. 2009;19(4):495–499.

Acknowledgment: We would like to acknowledge the indispensable contribution of Dr. Alex Ordonez to this article.

FUNDING: No funding was provided.

DISCLOSURES: Dr. Rosenthal receives educational grants from Covidien, Baxter, Karl Storz, W.L. Gore, and Ethicon Endo-Surgery. He is on the advisory board of MST. Drs. Szomstein and Lo Menzo report no conflicts of interest relevant to the content of this article.  

Tags: Laparoscopic Sleeve Gastrectomy, strictures

Category: Checklists in Bariatric Surgery, Past Articles