Experience of imaging following laparoscopic sleeve gastrectomy

ANZ Journal of Surgery
Ineke MeredithSimon Bann

Abstract

We aimed to report our experience with upper gastrointestinal (UGI) contrast studies and computed tomography (CT) swallow studies after laparoscopic sleeve gastrectomy, and comment on the merits of each modality. Retrospective review of all patients undergoing laparoscopic sleeve gastrectomy (LSG) in a New Zealand hospital between 2011 and 2014 was conducted. Over this time period, routine UGI was replaced by CT swallow studies. All medical records and radiology were reviewed and pertinent findings reported. Seventy-nine patients underwent LSG over this time period and one patient had to be excluded; 48 (61.5%) had a UGI study and 30 patients (38.5%) had CT swallow. There were no leaks in this study and no leaks became clinically significant. Sixteen of 30 patients (53.3%) undergoing CT swallow had significant incidental findings demonstrated on axial imaging that required follow-up. CT swallow can provide the same information as a UGI but has a significant rate of incidental findings. The rate of incidental pathology on CT is higher than that quoted in the general population. In a bariatric population, this may allow early detection and treatment of co-existent pathology.

References

Oct 11, 2001·The American Journal of Emergency Medicine·W A MessersmithM J Barry
Jan 12, 2007·The Journal of Trauma·Thomas R PaluskaMichael Biondi
Mar 16, 2007·Surgical Endoscopy·Crystine M LeeGregg H Jossart
Oct 14, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Daniel J GagnéPhilip F Caushaj
Feb 28, 2009·Surgical Endoscopy·David GoiteinMoshe Papa
Apr 10, 2010·Obesity Surgery·Xinzhe ShiDaniel W Birch
Jun 17, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Natan ZundelJosemberg Campos
Jun 25, 2010·Obesity Surgery·Manuel Ferrer MárquezRicardo Belda Poujoulet
Jul 4, 2012·Surgical Endoscopy·Nasser SakranAhmad Assalia
Jan 23, 2013·Obesity Surgery·Henry Buchwald, Danette M Oien
Jul 31, 2013·Seminars in Ultrasound, CT, and MR·Jennifer Ni MhuircheartaighGirish Tyagi
Aug 21, 2013·Journal of Obesity·Michael LaffinShahzeer Karmali
Oct 15, 2013·American Journal of Surgery·Reinhard MittermairHeinz Wykypiel
Jan 30, 2014·Radiology·Marc S Levine, Laura R Carucci
Jul 17, 2014·Journal of the American College of Surgeons·Juan P ToroCourtney C Moreno

❮ Previous
Next ❯

Citations

Aug 4, 2016·Obesity Surgery·Manuel Ferrer-MárquezAlberto Soriano-Maldonado

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.