Entrapment and Cutting of Nasogastric Tube Instapler Line During Laparoscopic Sleeve Gastrectomy

Iranian Journal of Medical Sciences

Volume 40 - Number Suppl

Article Type: Original Article

The incidence of obesity is steadily rising in recent years. Obesity, should be controlled by physical exercise and changes in dietary habits; and surgical treatment is indicated when clinical measures are inefficient. Recently laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is a simple, low-cost procedure resulting in significant weight loss within a short period of time. Last but not the least LSG is a safe procedure with a low complication rate.Although it is important to note that the most significant complications are staple-line bleeding, stricture, and staple-line leak.
A rare complication of laparoscopic sleeve gastrectomy is introduced in the following medical case.A 39 year old diabetes womanwho suffered from obesity underwent laparoscopic sleeve gastrectomy. After extraction of the specimen a foreign body was palpated which was found to be a part of nasogastric tube. The entrapped part of nasogastric tube in stapler line of remained part of stomach was removed with a small normal surrounding tissue,the nasogastric tube was pulled up, the created defect was repairedin one layer with endostich .drain was insertedLeak test was performedintra operative and repeated one day later which was negative .
The purpose of this paper is to avoid the above complication. It is appropriate that anesthesiologist technicians do not change during a solitary operation. Moreover we can eliminate the nasogastric tube and just use the standard sizerfor gastric decompression and then for leak test.