Complication of Laparoscopic Sleeve Gastrectomy

Abstract

Introduction: Obesity is considered a major health and socio economic problem. Overweight, obesity and morbid obesity are terms often used to describe individuals with and increased body fat. The most common definition of morbid obesity is a body mass index (BMI) of 40 Kg /m2 or more. More than 250 millions individuals are obese. The aetiology of this condition is multi factors including; familial and genetic predisposition, drug induced obesity, endocrinal causes, childhood over nutrition, intake of food in large quantities and many times in the day, psychological factors, environmental factors, special habits like alcohol consumption and smoking and personal factors like; age, gender, ethinity and parity. Laparoscopic sleeve gastrectomy has been gaining considerable popularity since its introduction as a stand-alone operation for the treatment of obesity. Aims: To outline the complication of laparoscopic sleeve gastrectomy and to outline how to manage this complication. To provide structured evidence based approach to the investigation and management of complication of laparoscopic sleeve gastrectomy. Summary: Obesity is simply defined as "excessive amount of body fat" and should be considered a chronic disease, as it has definite mortality and morbidity. The lack of direct methods has led to development of various models and indirect methods for estimation of fat and fat-free mass, all of which are imperfect and require a number of assumptions.