Patients Should Be Aware Of Risks And Complications Of The Gastric Sleeve Gastrectomy
Possible Acute Complications of Gastric Sleeve Gastrectomy
Bleeding – Postoperative bleeding happening or done after a surgical operation can require blood transfusion (the introduction of blood or blood plasma into a vein or artery) and occasionally re operation. Bleeding can occur in roughly 1 in 200 patients.
Leaks at the staple line- This is the most fearing complication of Gastric sleeve gastrectomy. It happens in roughly 1 in 100 patients. This can at times required a repeatedly surgery, Sometimes in the first few days after surgery. If these leaks persist they can turn into either communications with the skin or wound (fistula) or persistent infections within the abdominal cavity (abscesses).
Infection – This may require treatment with antibiotics and occasionally re operation.
Wound issues “People with a higher BMI are at a higher risk of complications involving wound infections, haematomas (large bruises) and poor wound healing.
Other major rare issues – As this surgical affects and impacts the function of the gut, some patients are unable to tolerate adequate intakes of food which can result in the requirement of long-term nutritional support via intravenous methods, called TPN (total parental nutrition).
Damage to organs – any keyhole processes can be complicated by unintentional injury and complications to the organs near the area of operation. This may require a repeat operation to repair of the damaged organs.
Blood clots – Deep Venous Thromboses (clots in the veins) and pulmonary embolus (clots in the lungs)
Pneumonia/ chest infection
Possible Long Term Complications
- *Any intra-abdominal procedure related to the gastrointestinal tract can be complicated in the long-term by problems associated with adhesions(scar tissue) related to the gut.
- Any intra-abdominal procedure has a low risk of subsequent herniaformation related to the wound closure
- Both of these conditions could lead to the necessity for repeat surgery, sometimes even in the emergency setting.
- Increased chance of gastro-oesophageal reflux (heartburn). If reflux occurs post operatively some patients can require acid suppressing medication. This operation is avoided for those people with severe symptoms of reflux prior to surgery.
- There are occasional issues related to malabsorption of micronutrients these are usually easily managed with supplemental vitamins and minerals. Long-term monitoring of blood tests is required.