Management of Acute Bleeding Post Laparoscopic Sleeve Gastrectomy

Abstract

Introduction: Bariatric procedures are widely spreading nowadays, laparoscopic sleeve gastrectomy is one of the most commonly performed Bariatric operations, post-operative bleeding is being a serious and a common event of this operation. Materials and methods: A retrospective analysis was performed for 80 out of 1500 patients, who underwent laparoscopic sleeve gastrectomy (LSG) in the period between March 2015 and August 2017. The rate of hemorrhagic complications was 5.3%, the mean age was 38.5 (± 8.718349), and the mean BMI was 40 (± 3.780856) Results: Source of bleeding was mostly intra-abdominal of which 95% of 76 patients, while intra-luminal bleeding represented only 5% of 4 patients. While in the intra-abdominal bleeding, 54 were there which had bleeding from the staple line, in 8 cases the bleeding was from the omentum, while 4 bled from the gastro-pancreatic adhesions, 4 bled from short gastric vessels, and in 6 patients the bleeding was from the trocar entry site. Conclusion: Early re-laparoscopy after post-LSG bleeding is diagnostic and therapeutic, and decreases both morbidity and mortality of patients.