Skip to main content
Top
Published in: Obesity Surgery 5/2017

01-05-2017 | Other

Solid Organ Infections: Rare Complications After Laparoscopic Sleeve Gastrectomy: a Report of Four Cases

Authors: Mohammed Hamdy Abdelhady, Asaad Fayrouz Salama, Mohsen Karam, Moataz Bashah

Published in: Obesity Surgery | Issue 5/2017

Login to get access

Abstract

Background

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. LSG is a safe procedure with a low complication rate. The most significant complications are staple-line bleeding, stricture, and staple-line leak. Formation of liver and splenic abscesses is an extremely rare consequence of LSG. Liver abscess has been reported in one case report while splenic abscess has been reported in five case reports after LSG.

Methods

This study is a case report and literature review.

Results

We report two cases of a pyogenic liver abscesses and two cases of splenic abscesses after LSG.

Conclusions

As LSG becomes more popular, clinicians need to be aware of uncommon but potentially serious complications related to it.
Literature
1.
go back to reference Serra C, Pérez N, Bou R, et al. Laparoscopic sleeve gastrectomy. A bariatric procedure with multiple indications. Cir Esp. 2006;79:289–92.CrossRefPubMed Serra C, Pérez N, Bou R, et al. Laparoscopic sleeve gastrectomy. A bariatric procedure with multiple indications. Cir Esp. 2006;79:289–92.CrossRefPubMed
2.
go back to reference Csendes A, Braghetto I, León P, et al. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010;14(9):1343–8.CrossRefPubMed Csendes A, Braghetto I, León P, et al. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010;14(9):1343–8.CrossRefPubMed
3.
go back to reference Csendes A, Burdiles P, Burgos AM, et al. Conservative management of anastomotic leaks after 557 open gastric bypasses. Obes Surg. 2005;15:1252–6.CrossRefPubMed Csendes A, Burdiles P, Burgos AM, et al. Conservative management of anastomotic leaks after 557 open gastric bypasses. Obes Surg. 2005;15:1252–6.CrossRefPubMed
4.
go back to reference Alfalah H, D’Souza J, Abbass G. Liver abscess, a rare complication post sleeve gastrectomy. XVI annual meeting of European society of surgery. 2012. Alfalah H, D’Souza J, Abbass G. Liver abscess, a rare complication post sleeve gastrectomy. XVI annual meeting of European society of surgery. 2012.
5.
go back to reference Schiavo L, Scalera G, De Sena G, et al. Nonsurgical management of multiple splenic abscesses in an obese patient that underwent laparoscopic sleeve gastrectomy: case report and review of literature. Clinical Case Reports. 2015;3(10):870–4.CrossRefPubMedPubMedCentral Schiavo L, Scalera G, De Sena G, et al. Nonsurgical management of multiple splenic abscesses in an obese patient that underwent laparoscopic sleeve gastrectomy: case report and review of literature. Clinical Case Reports. 2015;3(10):870–4.CrossRefPubMedPubMedCentral
7.
go back to reference Sakran N, Ilivitzki A, Zeina A, et al. Splenic abscess after sleeve gastrectomy: a report of two cases. Obes Facts. 2012;5:635–9.CrossRefPubMed Sakran N, Ilivitzki A, Zeina A, et al. Splenic abscess after sleeve gastrectomy: a report of two cases. Obes Facts. 2012;5:635–9.CrossRefPubMed
8.
go back to reference Avulov V, McQuillen DP, Mizusawa M, et al. Splenic abscess after sleeve gastrectomy. SAGES Metab Obes Arch. 2014;7:71. Avulov V, McQuillen DP, Mizusawa M, et al. Splenic abscess after sleeve gastrectomy. SAGES Metab Obes Arch. 2014;7:71.
9.
go back to reference Baker RS, Foote J, Kemmeter P, et al. The science of stapling and leaks. Obes Surg. 2004;14:1290–4.CrossRefPubMed Baker RS, Foote J, Kemmeter P, et al. The science of stapling and leaks. Obes Surg. 2004;14:1290–4.CrossRefPubMed
10.
go back to reference Dubay DA, Franz MG. Acute wound healing: the biology of acute wound failure. Surg Clin North Am. 2003;3:463–81.CrossRef Dubay DA, Franz MG. Acute wound healing: the biology of acute wound failure. Surg Clin North Am. 2003;3:463–81.CrossRef
11.
go back to reference Carucci LR, Turner MA, Conklin RC, et al. RYGB surgery for morbid obesity: evaluation of postoperative extraluminal leaks with upper gastrointestinal series. Radiology. 2006;238:119–27.CrossRefPubMed Carucci LR, Turner MA, Conklin RC, et al. RYGB surgery for morbid obesity: evaluation of postoperative extraluminal leaks with upper gastrointestinal series. Radiology. 2006;238:119–27.CrossRefPubMed
12.
go back to reference Han SM, Kim WW, Oh J. Results of laparoscopic sleeve gastrectomy at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.CrossRef Han SM, Kim WW, Oh J. Results of laparoscopic sleeve gastrectomy at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.CrossRef
13.
go back to reference Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.CrossRefPubMed Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.CrossRefPubMed
14.
go back to reference Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short term outcome. Obes Surg. 2006;16:1323–6.CrossRefPubMed Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short term outcome. Obes Surg. 2006;16:1323–6.CrossRefPubMed
15.
go back to reference Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.CrossRefPubMed Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.CrossRefPubMed
16.
go back to reference Weiner RA, Weiner S, Pomhoff I, et al. Laparoscoic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.CrossRefPubMed Weiner RA, Weiner S, Pomhoff I, et al. Laparoscoic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.CrossRefPubMed
17.
go back to reference Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy—a restrictive procedure? Obes Surg. 2007;17:57–62.CrossRefPubMed Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy—a restrictive procedure? Obes Surg. 2007;17:57–62.CrossRefPubMed
18.
go back to reference Felberbauer FX, Langer F, Shakeri-Manesch S, et al. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers. Obes Surg. 2008;18:814–8.CrossRefPubMed Felberbauer FX, Langer F, Shakeri-Manesch S, et al. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers. Obes Surg. 2008;18:814–8.CrossRefPubMed
19.
go back to reference Tucker ON, Szomstein S, Rosenthal RJ. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. J Gastrointest Surg. 2008;12:662–7.CrossRefPubMed Tucker ON, Szomstein S, Rosenthal RJ. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. J Gastrointest Surg. 2008;12:662–7.CrossRefPubMed
20.
go back to reference Hamilton EC, Sims TL, Hamilton TT, et al. Clinical predictors of leak after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2003;17:679–84.CrossRefPubMed Hamilton EC, Sims TL, Hamilton TT, et al. Clinical predictors of leak after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2003;17:679–84.CrossRefPubMed
22.
go back to reference Deitel M, Crosby RD, Gagner M. The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg. 2008;18:487–96.CrossRefPubMed Deitel M, Crosby RD, Gagner M. The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg. 2008;18:487–96.CrossRefPubMed
23.
go back to reference Levison ME, Bush LM. Peritonitis and other intra- abdominal infections. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases, 5th ed. New York, NY: Churchill Livingstone; 2000. p. 821–56. Levison ME, Bush LM. Peritonitis and other intra- abdominal infections. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases, 5th ed. New York, NY: Churchill Livingstone; 2000. p. 821–56.
24.
go back to reference Lopez-Cano Gomez M, Laguna Del Estal P, Garcia Montero P, et al. Pyogenic liver abscess: clinical presentation and predictors of unfavorable outcome. Gastroenterol Hepatol. 2012;35:229–35.CrossRefPubMed Lopez-Cano Gomez M, Laguna Del Estal P, Garcia Montero P, et al. Pyogenic liver abscess: clinical presentation and predictors of unfavorable outcome. Gastroenterol Hepatol. 2012;35:229–35.CrossRefPubMed
25.
go back to reference Ramakrishnan MR, Sarathy TKP, Balu M. Percutaneous drainage of splenic abscess: case report and review of literature. Pediatrics. 1987;79:1029–30.PubMed Ramakrishnan MR, Sarathy TKP, Balu M. Percutaneous drainage of splenic abscess: case report and review of literature. Pediatrics. 1987;79:1029–30.PubMed
26.
go back to reference Aessopos A, Politou M, Farmakis D, et al. Staphylococcus aureus abscess of the spleen in a betathalassemia patient. Scand J Infect Dis. 2002;34:466–80.CrossRefPubMed Aessopos A, Politou M, Farmakis D, et al. Staphylococcus aureus abscess of the spleen in a betathalassemia patient. Scand J Infect Dis. 2002;34:466–80.CrossRefPubMed
27.
go back to reference Smyrniotis V, Kehagias D, Voros D, et al. Splenic abscess. An old disease with new interest. Dig Surg. 2000;17:354–7.CrossRefPubMed Smyrniotis V, Kehagias D, Voros D, et al. Splenic abscess. An old disease with new interest. Dig Surg. 2000;17:354–7.CrossRefPubMed
28.
go back to reference Benedetti NJ, Desser TS, Jeffrey RB. Imaging of hepatic infections. Ultrasound Q. 2008;24:267–78.CrossRefPubMed Benedetti NJ, Desser TS, Jeffrey RB. Imaging of hepatic infections. Ultrasound Q. 2008;24:267–78.CrossRefPubMed
Metadata
Title
Solid Organ Infections: Rare Complications After Laparoscopic Sleeve Gastrectomy: a Report of Four Cases
Authors
Mohammed Hamdy Abdelhady
Asaad Fayrouz Salama
Mohsen Karam
Moataz Bashah
Publication date
01-05-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2609-6

Other articles of this Issue 5/2017

Obesity Surgery 5/2017 Go to the issue