Gravi complicanze della gastroplastica a bendaggio verticale. Caso clinico

Translated title of the contribution: Serious complications after vertical banded gastroplasty. Case report

C. M. Franciosi, C. Mussi, C. Angelini, F. Romano, F. Musco, R. Caprotti, F. Uggeri

Research output: Contribution to journalArticle

Abstract

Vertical banded gastroplasty, reported by Mason in 1982, is an effective method to control pathologic obesity (BMI>40 kg/m2). With the widespread of this procedure and the introduction of laparoscopic approach several complications are described in literature: gastroesophageal reflux, esophagitis, gastritis, gastric bleeding and perforations, prolonged vomit, dislocation of gastric ring, cholelithiasis, gastric fistulas, gastric stomal stenosis, dehiscence of vertical stomach staple line. From 2 to 10% of patients are reoperated because of inefficacy of treatment or short and long-term complications. Morbidity and mortality associated to reoperations are still high and it is difficult to identify criteria for an appropriate revision procedure. This can occur through endoscopy, laparotomy or laparoscopy, depending on clinical and radiologic feature. Dehiscence of vertical stomach staple line, observed in 10-20% of cases, even if asymptomatic, can lead to bad complications such as fistulas, peritonitis and sepsis. The case of a young woman, who underwent a vertical banded gastroplasty for pathologic obesity (117 kg, h 167 cm, BMI 42/m2) and subsequent laparotomies in the attempt to correct vertical staple line dehiscence, is reported. The patient came to our observation in a septic shock caused by peritonitis and ARDS and a total gastrectomy with Roux-en-Y esophago-jejunostomy was performed.

Original languageItalian
Pages (from-to)409-412
Number of pages4
JournalMinerva Chirurgica
Volume56
Issue number4
Publication statusPublished - 2001

Fingerprint

Gastroplasty
Stomach
Peritonitis
Laparotomy
Obesity
Gastric Fistula
Jejunostomy
Peptic Esophagitis
Cholelithiasis
Gastritis
Gastrectomy
Septic Shock
Gastroesophageal Reflux
Reoperation
Laparoscopy
Endoscopy
Fistula
Sepsis
Pathologic Constriction
Observation

ASJC Scopus subject areas

  • Surgery

Cite this

Franciosi, C. M., Mussi, C., Angelini, C., Romano, F., Musco, F., Caprotti, R., & Uggeri, F. (2001). Gravi complicanze della gastroplastica a bendaggio verticale. Caso clinico. Minerva Chirurgica, 56(4), 409-412.

Gravi complicanze della gastroplastica a bendaggio verticale. Caso clinico. / Franciosi, C. M.; Mussi, C.; Angelini, C.; Romano, F.; Musco, F.; Caprotti, R.; Uggeri, F.

In: Minerva Chirurgica, Vol. 56, No. 4, 2001, p. 409-412.

Research output: Contribution to journalArticle

Franciosi, CM, Mussi, C, Angelini, C, Romano, F, Musco, F, Caprotti, R & Uggeri, F 2001, 'Gravi complicanze della gastroplastica a bendaggio verticale. Caso clinico', Minerva Chirurgica, vol. 56, no. 4, pp. 409-412.
Franciosi CM, Mussi C, Angelini C, Romano F, Musco F, Caprotti R et al. Gravi complicanze della gastroplastica a bendaggio verticale. Caso clinico. Minerva Chirurgica. 2001;56(4):409-412.
Franciosi, C. M. ; Mussi, C. ; Angelini, C. ; Romano, F. ; Musco, F. ; Caprotti, R. ; Uggeri, F. / Gravi complicanze della gastroplastica a bendaggio verticale. Caso clinico. In: Minerva Chirurgica. 2001 ; Vol. 56, No. 4. pp. 409-412.
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