Effects and Results of Omentopexy during Laparoscopic Sleeve Gastrectomy on Possible Post Operative Bleeding and/or Leakage

Abstract

S leeve gastrectomy is an effective and relatively safe procedure for morbid obesity. Diagnosis of leakage is mainly based on clinical suspicion rather than lab and radiological evidence. The concept that the SG is a purely restrictive procedure is gradually changing. The significant reduction of large parts of the ghrelin-producing stomach mass and changes in gastric emptying may account for its superiority to other restrictive procedures in terms of weight loss and sustained decrease of hunger. Surgeons should understand the complications associated with LSG and an approach for dealing with them. Early postoperative complications following LSG that need to be identified urgently include bleeding, staple line leak and development of an abscess.