Emergency sleeve gastrectomy as rescue treatment for acute gastric necrosis due to type II paraesophageal hernia in an obese woman with gastric banding.

Abstract:

:A morbidly obese 42-year-old woman presented with a 1-week history of left chest pain. She had undergone laparoscopic adjustable gastric banding 16 months earlier with a body mass index (BMI) of 49.2 kg/m2. Diagnostic workup revealed a large left pleural empyema and ruled out band slippage. At left thoracotomy, a misdiagnosed type II paraesophageal strangulated hernia with gastric necrosis and large perforation of the fundus was evident. At laparotomy, the band was removed, the stomach was reduced into the abdomen, and a sleeve gastrectomy was performed. Her postoperative course was uneventful, and 6 months after surgery, her BMI is 31 kg/m2. Emergency sleeve gastrectomy could represent a good option to treat, at the same time and in a safe way, both gastric necrosis and paraesophageal hernia, improving the good results in terms of weight loss after gastric restriction from gastric banding.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Bernante P,Breda C,Zangrandi F,Pomerri F,Pelizzo MR,Foletto M

doi

10.1007/s11695-007-9374-x

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

737-41

issue

6

eissn

0960-8923

issn

1708-0428

journal_volume

18

pub_type

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