Raj PP, Misra S, Bhattacharya S, Kumar SS, Kumar TSR, Khan MJ, Palanivelu C. Lower oesophageal peptic stricture after laparoscopic sleeve gastrectomy: World's first case report.
J Minim Access Surg 2020;
16:282-284. [PMID:
31031315 PMCID:
PMC7440008 DOI:
10.4103/jmas.jmas_29_19]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 02/18/2019] [Indexed: 12/16/2022] Open
Abstract
Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery worldwide. De novo gastroesophageal reflux disease after LSG has been reported in the range of 0%-34.9%. Benign lower oesophageal peptic stricture is rare and has not been reported till date. We present the first case report of benign oesophageal peptic stricture post-sleeve gastrectomy and its management. The management modalities for peptic stricture post-LSG include proton pump inhibitors, endoscopic dilatation and surgical management. Revisional Roux-en-Y gastric bypass along with optimal usage of serial dilatation and medical treatment has been shown to be an effective treatment for the same.
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