Role of Multi Detector Computed Tomography in Assessment Of Early Post-Operative Complications in Sleeve Gasterectomy in Bariatric Patients

Abstract

laparoscopic sleeve gastrectomy (LSG) is one among different bariatric surgeries, which became an effective treatment method for morbid obesity. CT may be performed after laparoscopic sleeve gastrectomy to assess acute complications as staple line leakage, abscesses, hematomas, portal vein thrombosis (PVT), splenic injury or infarction. Aim of the study: was to assess the value of multi- detector CT in the evaluation of the suspected early complications of LSG. Patients and Methods: This study was an observational study, included 25 patients who underwent LSG and CT was done for them to detect any suspected complication even in the presence of negative upper gastrointestinal (UGI) series. Results: MDCT detected complication in 15 patients out of the 25 patients (60%), with no mortality. Leakage occurred in 16%, abscess in 8%, hematoma in 8%, splenic injury, splenic infarction and PVT in 4% each. Conclusions:CT is an important imaging tool to diagnose suspected complications of laparoscopic sleeve gastrectomy procedure and should be used to ensure accurate diagnosis or in the case of mismatch between symptoms and routine upper GIT studies.