Thoracic Complications of Bariatric Surgeries: Overlooked Entities

Aljehani, Yasser; AlQattan, Abdullah Saleh; Alkuwaiti, Feras A.; Alsaif, Farah; Aldossari, Ibrahim; Elbawab, Hatem

doi:10.1007/s11695-019-03868-7

Cited by 6 publications

(8 citation statements)

References 24 publications

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“…Mortality rates were published. Of these papers, one was a case series, one cross‐sectional study, one prospective observational study, and six were retrospective audits 93–101 . Individual case reports were excluded.…”

Section: Resultsmentioning

confidence: 99%

“…Individual case reports were excluded. The studies included one type of bariatric procedure 93,95,98,99,101 and compared complications across up to five different bariatric interventions 96 . There were four studies with no denominator 93,95,97,99 .…”

Section: Resultsmentioning

confidence: 99%

“…Of these papers, one was a case series, one cross‐sectional study, one prospective observational study, and six were retrospective audits. 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 Individual case reports were excluded. The studies included one type of bariatric procedure 93 , 95 , 98 , 99 , 101 and compared complications across up to five different bariatric interventions.…”

Section: Resultsmentioning

confidence: 99%

“…The studies included one type of bariatric procedure 93 , 95 , 98 , 99 , 101 and compared complications across up to five different bariatric interventions. 96 There were four studies with no denominator. 93 , 95 , 97 , 99 These described 14 cases of acute pancreatitis after post‐intragastric balloon, 93 , 95 13 cases of acute axonal polyneuropathy, 98 and 42 cases of postoperative leak after sleeve gastrectomy.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

et al. 2022

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Summary Saudi Arabia (SA) has a reported obesity prevalence greater than the global average. Here, we systematically review firstly the prevalence and associated factors (59 studies) and secondly the pharmacological, lifestyle, and surgical interventions for obesity (body mass index, >30 kg/m2) in SA (29 studies) between December 2020 and March 2021 in PubMed, Medline, Embase, PsycINFO, and Cochrane. Peer‐reviewed articles in Arabic and English on human adults (aged >18 years) were searched. Among the eight largest studies with sample sizes over 10,000 people, the maximum‐reported obesity prevalence was 35.6%, with notable variations in gender and geographic region. Diet, specifically the move towards Western diet and heavy consumption of sugary beverages, and high levels of inactivity are major contributing factors to obesity. The reported obesity‐risk polymorphisms are not specific. Bariatric surgery is underrepresented, and in general, there is a lack of nationally coordinated studies on weight loss interventions. In particular, the systematic review did not find a body of research on psychological interventions. There is no trial data for the use of GLP‐1 analogs in SA, despite their widespread use. These findings can help policymakers, and practitioners prioritize future research efforts to reduce obesity prevalence in SA.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

et al. 2022

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“…A total of 62 articles were identified, but only two case reports describing iatrogenic perforations caused by the use of a bougie during bariatric surgery were found, both describing more distal lesions located in the middle [4] and lower esophagus [5], respectively. Additionally, a retrospective descriptive study on thoracic complications after bariatric surgery had reported on three patients where thoracic esophageal perforation occurred due to bougie advancement during LSG [6].…”

Section: Literature Reviewmentioning

confidence: 99%

Cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy: a case report and review of the literature

et al. 2020

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Background: Obesity is considered a chronic disease with an increasing prevalence worldwide during the last decades. Laparoscopic sleeve gastrectomy is the most commonly performed bariatric procedure, due to its relative safety and longterm efficacy. The use of bougie to ensure correct size of the gastric tube is part of the standard operation, usually placed by the anesthesiologist and with a very low rate of complications. We report the first case, to our knowledge, of a cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy. Case presentation: The complication occurred in a previously healthy 42-year old female patient who underwent laparoscopic sleeve gastrectomy for class 1 obesity (BMI 31 kg/m 2) and was diagnosed the first post-operative day. She was subsequently treated with an emergency thoracoscopy and evacuation of a mediastinal fluid collection, with additional neck incision for primary closure of the esophageal defect which was reinforced with a sternocleidomastoid muscle flap. The post-operative course was uneventful. Conclusions: We made a literature review to better understand the options considering the diagnosis and treatment in case of very proximal iatrogenic esophageal perforations. The risks related to the use of bougie during surgery should not be underestimated, and its insertion must be done with extreme caution. Esophageal perforation is still a challenging, life threatening complication where prompt diagnosis and adequate treatment are essential.

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A rare presentation of gastro‐pleural fistula after Roux‐en‐Y gastric bypass, simultaneous fistula of gastric pouch, and remnant to the pleural space

Movahhed,

Dalili,

Zandbaf

et al. 2023

Clinical Case Reports

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Key Clinical MessageAlthough gastro‐pleural fistulas after bariatric surgeries are rare, they are life‐threatening complications that should be suspected in patients who present with gastrointestinal or respiratory symptoms after bariatric surgery.AbstractPrevious studies showed an incidence rate of 0.2%–0.37% for gastro‐pleural fistulas after bariatric surgery. We report a 56‐year‐old female with a rare presentation of gastro‐pleural fistula after Roux‐en‐Y gastric bypass, simultaneous fistula of the gastric pouch, and remnant to the pleural space.

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Thoracic Complications of Bariatric Surgeries: Overlooked Entities

Cited by 6 publications

References 24 publications

Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review

Cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy: a case report and review of the literature

A rare presentation of gastro‐pleural fistula after Roux‐en‐Y gastric bypass, simultaneous fistula of gastric pouch, and remnant to the pleural space

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