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Sleeve gastrectomy-complicated

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

History of sleeve gasterectomy 1.5 year ago, now the patient complains of recurrent weight gain.

Patient Data

Age: 32-year-old
Gender: Male

Dilatation of the gastric pouch with loss of its tubular (banana) appearance.

Surgical staple line is seen along the greater curvature of the residual stomach. 

 

Case Discussion

Gastric dilatation is one of the complications following sleeve gastrectomy which may necessitate surgical revision of the pouch.

Patients usually present with inadequate weight loss or recurrent weight gain.

Imaging studies reveals widening of the gastric sleeve with loss of its tubular appearance.

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