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 Surgjournal_title
Obesity surgeryauthors
Bernante P,Breda C,Zangrandi F,Pomerri F,Pelizzo MR,Foletto Mdoi
10.1007/s11695-007-9374-xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
737-41issue
6eissn
0960-8923issn
1708-0428journal_volume
18pub_type
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