Browsing by Author "M. Faik YAYLAK"

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    Conservative management of leakage after laparoscopic sleeve gastrectomy
    (2018) Merve ŞENKUL; Ali TARDU; İsmail ERTUĞRUL; Eray ATLI; M. Faik YAYLAK
    Laparoscopic sleeve gastrectomy (LSG) is a common surgical procedure for the treatment of morbid obesity. Severe complications may result with significant morbidity and mortality. Staple-line leakage is a rare,but important, complication. Here we present the case of a patient with staple-line leakage after LSG whowas treated conservatively. The patient was a 36-year-old female with a body mass index of 43. LSG wasperformed. The postoperative course was uneventful and the patient was discharged on postoperative day3. She presented with fever and back pain on postoperative day 5. An intermediate, type 2 staple-line leakwas confirmed with computed tomography (CT). The patient was treated conservatively. The patient waswell 1 year after the initial treatment and a follow-up CT confirmed complete resolution. Leakage and relatedmorbidity and mortality after LSG may be a challenge for the patient and the surgeon. Early diagnosis andaggressive treatment is essential to overcome potential serious consequences. In some selected patients, aconservative approach with close observation may help to manage leakage after LSG.
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    Splenic infarction after laparoscopic sleeve gastrectomy
    (2018) Ali TARDU; M. Faik YAYLAK; Merve ŞENKUL; Eray ATLI; İsmail ERTUĞRUL
    Laparoscopic sleeve gastrectomy is a common procedure for obesity with well-defined complications. Thiscase report describes a splenic infarction observed after a laparoscopic sleeve gastrectomy performed in a32-year-old female patient with a body mass index of 41 kg/m2. On the postoperative second day she presented with left-sided thoracic pain and fever. Intravenous contrast-enhanced computed tomography (CT)revealed a splenic infarction in the upper pole. The patient was treated conservatively with antibiotics andanalgesics. She was discharged on the postoperative sixth day. One month later, patient was symptom-freeat the control visit. A follow-up CT demonstrated regression on the infarction side with minimal residue.Splenic infarction after laparoscopic sleeve gastrectomy is a rare, early surgical complication. Diagnosis ismade with confirmation of clinical signs using CT. Conservative treatment is adequate for most patients. Inour case, a retrospective review of the laparoscopic images revealed the ischemic areas after the division ofthe short gastric vasculature.