Pancreatitis following bariatric surgery

Abstract

Background The laparoscopic Roux-en-Y gastric bypass (LRYGBP) is the second most performed bariatric surgical procedure. With the increasing number of patients undergoing bariatric surgery, the number of complications is also growing. Early diagnosis and treatment of the complications is crucial. Case presentation A very unusual complication was met after an uneventful laparoscopic gastric bypass (LGBP) procedure due to an obstructing blood clot in the biliairy limb resulting in an acute pancreatitis and gastric distention, accompanied by an obstructing blood clot in the distal ileum causing small bowel obstruction. A review of the occurrence of these complications and the diagnosis and treatment is presented. Conclusion Post-bariatric acute pancreatitis is uncommon, but could be fatal. Blood clots should be considered as possible causes of small bowel obstruction, ileus or pancreatitis.

Postoperative Stomach Volvulus and Pancreatitis Following a Sleeve Gastrectomy

“…A cohort study reported 3.5 years as the average median time from bariatric surgery to developing acute pancreatitis, with the most common etiology being gallstones [ 12 ]. The formation of gallstones is likely facilitated by rapid weight loss after surgery [ 12 ].…”

“…A cohort study reported 3.5 years as the average median time from bariatric surgery to developing acute pancreatitis, with the most common etiology being gallstones [ 12 ]. The formation of gallstones is likely facilitated by rapid weight loss after surgery [ 12 ]. Additionally, postoperative anastomotic strictures, leak, ductal dilation, sludge, and choledocholithiasis have been linked with the development of postoperative acute pancreatitis [ 11 , 12 ].…”

“…The formation of gallstones is likely facilitated by rapid weight loss after surgery [ 12 ]. Additionally, postoperative anastomotic strictures, leak, ductal dilation, sludge, and choledocholithiasis have been linked with the development of postoperative acute pancreatitis [ 11 , 12 ]. A multivariable analysis reported a prior history of acute pancreatitis was associated with a 7-fold increased risk in post-operative acute pancreatitis [ 11 ].…”

Acute pancreatitis following laparoscopic sleeve gastrectomy :a case report and literature review.

“…However, pancreatitis directly following bariatric surgery is a very uncommon complication. A literature review revealed very few cases of acute pancreatitis postbariatric surgery [3][4][5][6]. Here, we present a rare case of acute pancreatitis following LSG in the early post-operative period to increase the awareness of bariatric surgeons of the complications of this surgery.…”