Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?

Bariatric surgery has become an integral part of morbid obesity treatment with well-defined indications. Some complications, specific or not, due to laparoscopic sleeve gastrectomy (LSG) procedure have recently been described. We report a rare complication unpublished to date: a nasogastric section...

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Main Authors:	Péquignot, A., Dhahria, A., Mensah, E., Verhaeghe, P., Badaoui, R., Sabbagh, C., Regimbeau, J.-M.
Format:	Online
Language:	English
Published:	S. Karger AG 2011
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3134057/

id	pubmed-3134057
recordtype	oai_dc
spelling	pubmed-31340572011-07-18 Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover? Péquignot, A. Dhahria, A. Mensah, E. Verhaeghe, P. Badaoui, R. Sabbagh, C. Regimbeau, J.-M. Published Online: July 2011 Bariatric surgery has become an integral part of morbid obesity treatment with well-defined indications. Some complications, specific or not, due to laparoscopic sleeve gastrectomy (LSG) procedure have recently been described. We report a rare complication unpublished to date: a nasogastric section during great gastric curve stapling. A 44-year-old woman suffered of severe obesity (BMI 36.6 kg/m2) with failure of medical treatments for years. According to already published technique, a LSG was performed. Six hours postoperatively, a nurse removed the nasogastric tube according to the local protocol and the nasogastric tube was abnormally short, with staples at its extremity. Surgery was performed with peroperative endoscopy. In conclusion, this is the first publication of a nasogastric section during LSG. Therefore we report this case and propose a solution to prevent its occurrence. To avoid this kind of accident, we now systematically insert the nasogastric tube by mouth through a Guedel cannula. Then, to insert the calibrating bougie, we entirely withdraw the nasogastric tube. S. Karger AG 2011-07-06 /pmc/articles/PMC3134057/ /pubmed/21769286 http://dx.doi.org/10.1159/000329706 Text en Copyright © 2011 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Péquignot, A. Dhahria, A. Mensah, E. Verhaeghe, P. Badaoui, R. Sabbagh, C. Regimbeau, J.-M.
spellingShingle	Péquignot, A. Dhahria, A. Mensah, E. Verhaeghe, P. Badaoui, R. Sabbagh, C. Regimbeau, J.-M. Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?
author_facet	Péquignot, A. Dhahria, A. Mensah, E. Verhaeghe, P. Badaoui, R. Sabbagh, C. Regimbeau, J.-M.
author_sort	Péquignot, A.
title	Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?
title_short	Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?
title_full	Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?
title_fullStr	Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?
title_full_unstemmed	Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?
title_sort	stapling and section of the nasogastric tube during sleeve gastrectomy: how to prevent and recover?
description	Bariatric surgery has become an integral part of morbid obesity treatment with well-defined indications. Some complications, specific or not, due to laparoscopic sleeve gastrectomy (LSG) procedure have recently been described. We report a rare complication unpublished to date: a nasogastric section during great gastric curve stapling. A 44-year-old woman suffered of severe obesity (BMI 36.6 kg/m2) with failure of medical treatments for years. According to already published technique, a LSG was performed. Six hours postoperatively, a nurse removed the nasogastric tube according to the local protocol and the nasogastric tube was abnormally short, with staples at its extremity. Surgery was performed with peroperative endoscopy. In conclusion, this is the first publication of a nasogastric section during LSG. Therefore we report this case and propose a solution to prevent its occurrence. To avoid this kind of accident, we now systematically insert the nasogastric tube by mouth through a Guedel cannula. Then, to insert the calibrating bougie, we entirely withdraw the nasogastric tube.
publisher	S. Karger AG
publishDate	2011
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3134057/
_version_	1611464875759894528

Stapling and Section of the Nasogastric Tube during Sleeve Gastrectomy: How to Prevent and Recover?

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