Presentation
The case was successfully managed with angiographic embolisation and we present our experience with recommendations for managing this rare but life-threatening complication. [ncbi.nlm.nih.gov]
Entire Body System
- Anemia
[…] procedure may be a suitable weight loss tool for individuals who are not appropriate candidates for other types of bariatric surgery (e.g., gastric bypass) due to specific risk factors, including a very high BMI and certain medical conditions such as anemia [advancedobesitysurgery.com.au]
Anemia usually does not occur for a few years after gastric surgery because iron is stored in moderately large amounts in the bone marrow, where red blood cells are produced. [my.clevelandclinic.org]
Before surgery, GC patients are likely to have iron-deficiency anemia; and after gastrectomy, patients suffer from low nutritional status and low iron. [ncbi.nlm.nih.gov]
- Fever
Three weeks after the intervention, she was readmitted with abdominal pain, vomiting, nausea, diarrhea, and fever with positive family anamnesis to viral disease. [ncbi.nlm.nih.gov]
DO call your health care provider if you have a fever during chemotherapy. DO call your health care provider if you have pain or abnormal drainage around the incision after surgery. DON’T ignore stomach pain or blood in the stool. [spectrumhealth.org]
When to call your healthcare provider Call your healthcare provider right away if you have any of the following: Cloudy or smelly drainage from the incision site Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider Shaking chills [fairview.org]
[…] your hands often and reminding visitors and healthcare providers to do the same Reminding your healthcare providers to wear gloves or masks Not allowing others to touch your incision Call your doctor if any of these occur: Signs of infection, including fever [health.cvs.com]
[…] reminding visitors and healthcare providers to do the same Reminding your healthcare providers to wear gloves or masks Not allowing others to touch your incision Call Your Doctor Call your doctor if any of these occur: Signs of infection, including fever [wkhs.com]
- Swelling
increasing pain, excessive bleeding, or any discharge from the incision site Persistent nausea or vomiting Pain that you cannot control with the medications you were Pain or swelling in your feet, calves, or legs Pain, burning, urgency or frequency [health.cvs.com]
You may have some swelling in your feet. Lace-up sneakers can accommodate this swelling. Only the money you may need for a newspaper, bus, taxi, or parking. Your portable music player, if you choose. [mskcc.org]
Mild to Moderate Side Effects Immediately after surgery, minor side effects such as pain from gas, bruising, bleeding, inflammation, and swelling are very common. [alighterme.com]
Respiratoric
- Pneumonia
As with all surgeries, a very small number of patients may develop an infection, pneumonia, and nausea and/or vomiting. All severe side effects should be checked by a doctor without delay. [alighterme.com]
[…] from the stomach at the operation site nausea vomiting stomach acid leaking into your esophagus, which causes scarring, narrowing, or constriction (stricture) a blockage of the small bowel vitamin deficiency weight loss bleeding difficulty breathing pneumonia [healthline.com]
Chest problems Pulmonary complications such as pneumonia, aspiration and atelectasis (partial collapse of the base of the lungs) can occur after any type of surgery under general anaesthetic. [healthengine.com.au]
What to Do Before Surgery Before gastric sleeve resection or any bariatric surgery, you must quit smoking, as smoking increases the risk for infections, pneumonia, blood clots, slow healing and other life-threatening complications after surgery. [yourbariatricsurgeryguide.com]
- Aspiration
Chest problems Pulmonary complications such as pneumonia, aspiration and atelectasis (partial collapse of the base of the lungs) can occur after any type of surgery under general anaesthetic. [healthengine.com.au]
And if you vomit during your procedure you can get pulmonary aspiration. This is when the contents of your stomach regurgitate and get stuck in your airways. This can be fatal or cause aspiration pneumonia. [obesitycoverage.com]
All patients have the potential for aspiration of stomach contents; hence, a rapid sequence induction is necessary. Perioperative antibiotics should be given according to local guidelines. [academic.oup.com]
- Dyspnea
The main consequence of iron deficiency is hypochromic microcytic anemia with symptoms comprising paleness, dyspnea, tachycardia, and fatigue. [karger.com]
A temperature elevation or dyspnea may indicate leakage of oral fluids or gastric leaks from the incision around the anastomosis. The most common complication of gastrectomy is dumping syndrome, with fullness and discomfort after meals. [medical-dictionary.thefreedictionary.com]
Gastrointestinal
- Early Satiety
Early satiety or feeling full quickly after food and drink means that you don’t want to eat as much even though your calorie requirements are unchanged (or even increased around the time of your surgery). [mystomachcancersymptoms.com]
Patients who have early satiety (feeling of fullness after eating), abdominal discomfort, and vomiting may have bile reflux gastritis (also called bilious vomiting), which is also surgically correctable. Many patients also experience weight loss. [medical-dictionary.thefreedictionary.com]
According to the surgical literature, VSG is considered a restrictive procedure because reduced stomach size causes early satiety and reduced oral intake.5 However, increasing evidence suggests that VSG induces weight loss through other physiological [todaysdietitian.com]
Patients do not experience normal hunger and have early satiety; in addition, they often experience the early, late, or both dumping syndromes. Meals need to be small and frequent. [academic.oup.com]
- Loss of Appetite
This loss of appetite induced by sleeve gastrectomy surgery helps them achieve weight loss. The sleeve gastrectomy is a restrictive weight loss procedure. [weightlosssurgeon.com]
As the tumor grows, people have abdominal (belly) pain, nausea, and loss of appetite. [spectrumhealth.org]
Which appetite-stimulating hormone decreases following VSG? a. Peptide-YY b. Growth hormone c. Cholecystokinin d. Ghrelin 3. Which of the following is the key aspect of the mechanism of action by which VSG induces weight loss? a. [todaysdietitian.com]
- Dysphagia
The occurrence of dysphagia was also actively inquired. [scielo.br]
Ask about symptoms including reflux, nausea, vomiting, and dysphagia. Determine of amount of weight loss over a time period and enquire about types and volume of food the patient is able to ingest. [academic.oup.com]
Workup
Preoperative workup showed a T3N+M0 tumor. After neoadjuvant chemotherapy, laparoscopy was scheduled. Three trocars (5, 12, 5 mm) were placed in the abdomen. The operative field's exposure was improved by temporary percutaneous sutures. [ncbi.nlm.nih.gov]
X-Ray
- Pneumoperitoneum
A laparoscopic gel port was then placed over the extraction site to maintain pneumoperitoneum to facilitate a laparoscopic esophagojejunal pouch anastomosis using a circular stapler. RESULTS: The patient was discharged home on postoperative day 4. [ncbi.nlm.nih.gov]
Pneumoperitoneum was established to 15 mmHg. First trocar for placing the camera was inserted 15 cm distal to the xiphoid process. Another trocar was placed on the epigastric angle for liver retraction. [bmcsurg.biomedcentral.com]
Serum
- Hypoglycemia
An 83-year-old man developed hypoglycemia after undergoing total gastrectomy for gastric cancer in 200X-4. The patient was admitted to our hospital in May 200X and placed on continuous glucose monitoring (CGM). [ncbi.nlm.nih.gov]
Avoiding sweets is especially important if you suffer from hypoglycemia, says the University of Pittsburgh Medical Center. [livestrong.com]
The carbohydrate component draws water into the intestinal lumen causing sudden fluid shifts in the early dumping whereas late dumping is caused by a reactive hypoglycemia. [my.clevelandclinic.org]
Reactive hypoglycemia is a condition that results when blood sugar becomes too high after a meal, stimulating the release of insulin, about two hours after eating. A high-protein diet and smaller meals are advised. [medical-dictionary.thefreedictionary.com]
- Hypochlorhydria
Methicillin-resistant Staphylococcus aureus (MRSA) enteritis associated with prophylactic cephalosporin administration and hypochlorhydria, after subtotal gastrectomy. Am J Gastroenterol. 86, 791–792 (1991). 13. Shoesmith, J. H. & Shucksmith, H. S. [nature.com]
- Glucose Decreased
Blood glucose level may be critical: oral or intravenous administration of glucose decreases plasma ghrelin concentration ( 154, 209 ). [doi.org]
- Macrocytic Anemia
Laboratory examinations showed macrocytic anemia and a decreased serum vitamin B12 concentration and increased serum concentrations of folate, vitamin E and copper. [ncbi.nlm.nih.gov]
Treatment
This study aimed to assess the feasibility and safety of RAG over conventional Laparoscopy-assisted gastrectomy (LAG) for the treatment of GC. [ncbi.nlm.nih.gov]
Prognosis
This study investigated preoperative iron status associated with prognosis after curative gastrectomy for gastric cancer. [ncbi.nlm.nih.gov]
Because of the poor prognosis of gastric carcinoma there is increasing pressure for early detection. Some of the problems in the early detection of gastric carcinoma are discussed together with methods of surveillance of high-risk subjects. [books.google.ro]
Etiology
We speculate that the long-term use of immunosuppressants concomitant with gastrointestinal disorders after gastric surgery was an important causative factor in its etiology. We also investigated the possible treatment for it. [ncbi.nlm.nih.gov]
Recent trend of pylephlebitis in Taiwan: Klebsiella pneumoniae liver abscess as an emerging etiology. Infection. 41, 1137–1143 (2013). 20. Chen, C. et al. [nature.com]
Enterocutaneous fistulae: etiology, treatment, and outcome - a study from South India. Saudi J Gastroenterol. 2011 Nov-Dec. 17 (6):391-5. [Medline]. [Full Text]. WILLIAMS JA, STAMMERS FA. [emedicine.medscape.com]
Epidemiology
Electronic address: [email protected]. 4 Department of Nutrition, Ambroise Pare Hospital (AP-HP), University of Versailles Saint Quentin en Yvelines, 9 avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France; Inserm, Population-based Epidemiologic [ncbi.nlm.nih.gov]
Our results, derived from a large-scale epidemiological database, affirm sporadic observations that gastrectomy is associated with PLA 20, 21. [nature.com]
Pathophysiology
However, it is not clear whether high ghrelin level had the pathophysiological role in these symptoms. In both cases, GH and IGF-I levels were within the normal range, and the patients had no clinical features of acromegaly. A. [doi.org]
Prevention
We insert a ‘cardiopexy’ stitch to prevent the new sleeve from migrating up into the chest, which would cause severe reflux, before placing final stitches to prevent twisting of the sleeve, which can cause intermittent obstruction. [circleofcare.com.au]
In this study, the efficacy of sutures and fibrin glue in the prevention of staple leak has been compared retrospectively. [ncbi.nlm.nih.gov]