Journal of Clinical Review & Case Reports(JCRC)

American Hospital Tbilisi, Tbilisi, Georgia

Publications

• Case Report   
  Successful management of late leakage after sleeve gastrectomy: A case of a challenging delayed complication
  Author(s): Merab A. Kiladze*, George Kherodinashvili, Elza Apriamashvili, Koba Sakhechidze, Malkhaz Chubinidze, Paata Tutberidze and Irakli Gogokhia
  
  We report a unique case of delayed complication of a 36-year-old obese female patient who had a very late gastric leak, namely, four years after LSG. Patient presented with worsening abdominal pain and discomfort, anemia, intermittent fever of 39°C, vomiting and a general feeling of illness and anxiety. Clinical, laboratory and instrumental studies (X-Ray, CT, US) revealed the leakage from the gastric remnant at the gastroesophageal junction level and a small left subdiaphragmatic collection. Revisional laparoscopy and intraoperative methylene blue test (MBT) did not reveal a defect and leakage of the suture line. On rehospitalization the surgical intervention was recommended. The successful extirpation of the stomach remnant with resection of distal segment of esophagus and Roux-en-Y reconstruction was performed. The control X-Ray examination was performed at 6th p/o day, which r.. Read More»
  

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