Severe malnutrition after single anastomosis sleeve jejunal bypass (SASJ) surgery due to a rare surgical complication: Report of the case

xlomafota13 shared this article with you from Inoreader Severe malnutrition after single anastomosis sleeve jejunal bypass (SASJ) surgery due to a rare surgical complication: Report of the case Via swallowing exercises Int J Surg Case Rep. 2022 Feb 12;92:106824. doi: 10.1016/j.ijscr.2022.106824. Online ahead of print. ABSTRACT INTRODUCTION: Bariatric procedures rates are increased due to the epidemic in obesity. Up to 50% of patients operated with vertical banded gastroplasty (VBG) procedures experience failure or complications in the mid- and long-term and present for revision bariatric surgery. Despite the increase in revisions, their safety and efficacy remain controversial. CASE PRESENTA TION: A 44-year-old female patient with severe malnutrition after single anastomosis sleeve jejunal bypass (SASJ) surgery was referred to this center. SASJ was the chosen bariatric procedure for her after the first failed VBG. She was unable to swallow anything. Upper GI endoscopy was done and the laparoscopic prolene mesh used in the first bariatric surgery (VBG) was seen inside the gastric lumen. Total parental nutrition was initiated and continued for 12 days in this medical center and then she was candidate for exploratory laparoscopy. CLINICAL DISCUSSION: Using prophylactic preperitoneal Prolene mesh during wound closure in bariatric surgery is safe and effective in preventing incisional hernia development. During the revision bariatric surgeries, surgeons should be careful about the used mesh in the first bariatric surgery. CONCLUSION: Surgeons should be aware of the management of rare surgical complications that might lead to malnutrition which is insidious. LEVEL OF EVIDENCE: V. PMID:35176582 | DOI:10.1016/j.ijscr.2022.106824 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.