Article: Esophageal perforation during laparoscopic sleeve gastrectomy: Complication of bougie insertion.
International journal of surgery case reports
2021 Volume 81, Page(s) 105793
Abstract: Introduction and importance: Esophageal perforation (EF) is an uncommon complication of bariatric procedures, mostly related to the intraoperative use of bougie that is used for gastric calibration.: Case presentation: Here, we present a 33-year-old ... ...
Abstract | Introduction and importance: Esophageal perforation (EF) is an uncommon complication of bariatric procedures, mostly related to the intraoperative use of bougie that is used for gastric calibration. Case presentation: Here, we present a 33-year-old woman who underwent laparoscopy sleeve surgery (LSG). Due to perforation in the cervical site of the esophagus caused by bougie insertion, she developed subcutaneous emphysema on the first post-operative day. She immediately underwent reconstructive esophageal surgery under the probable diagnosis of having a cervical esophagus perforation. The patient's condition was stable in the postoperative period and discharged after 10 days. Clinical discussion: The patients who present symptoms including subcutaneous emphysema, cervical pain, dysphagia, dysphonia, and fever post-surgery have to be considered for probably EF. The early optimal diagnosis works up and therapeutic approach should be performed as soon as possible to prevent mortality. Conclusion: EP caused by a bougie insertion is an uncommon complication that is associated with high mortality rates if the diagnosis and treatment were delayed. The risk of using a bougie during surgery should not be underestimated and have to be inserted with extreme caution and careful guide of surgeon. |
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Language | English |
Publishing date | 2021-03-19 |
Publishing country | Netherlands |
Document type | Case Reports |
ISSN | 2210-2612 |
ISSN | 2210-2612 |
DOI | 10.1016/j.ijscr.2021.105793 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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