Abstract
Background
Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is a simple, low-cost procedure resulting in significant weight loss within a short period of time. LSG is a safe procedure with a low complication rate. The most significant complications are staple-line bleeding, stricture, and staple-line leak. Formation of liver and splenic abscesses is an extremely rare consequence of LSG. Liver abscess has been reported in one case report while splenic abscess has been reported in five case reports after LSG.
Methods
This study is a case report and literature review.
Results
We report two cases of a pyogenic liver abscesses and two cases of splenic abscesses after LSG.
Conclusions
As LSG becomes more popular, clinicians need to be aware of uncommon but potentially serious complications related to it.
Similar content being viewed by others
References
Serra C, Pérez N, Bou R, et al. Laparoscopic sleeve gastrectomy. A bariatric procedure with multiple indications. Cir Esp. 2006;79:289–92.
Csendes A, Braghetto I, León P, et al. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010;14(9):1343–8.
Csendes A, Burdiles P, Burgos AM, et al. Conservative management of anastomotic leaks after 557 open gastric bypasses. Obes Surg. 2005;15:1252–6.
Alfalah H, D’Souza J, Abbass G. Liver abscess, a rare complication post sleeve gastrectomy. XVI annual meeting of European society of surgery. 2012.
Schiavo L, Scalera G, De Sena G, et al. Nonsurgical management of multiple splenic abscesses in an obese patient that underwent laparoscopic sleeve gastrectomy: case report and review of literature. Clinical Case Reports. 2015;3(10):870–4.
Singh Y, Cawich S, Aziz I, et al. Delayed splenic abscess after laparoscopic sleeve gastrectomy. BMJ Case Rep. 2015; doi:10.1136/bcr-2014-208057.
Sakran N, Ilivitzki A, Zeina A, et al. Splenic abscess after sleeve gastrectomy: a report of two cases. Obes Facts. 2012;5:635–9.
Avulov V, McQuillen DP, Mizusawa M, et al. Splenic abscess after sleeve gastrectomy. SAGES Metab Obes Arch. 2014;7:71.
Baker RS, Foote J, Kemmeter P, et al. The science of stapling and leaks. Obes Surg. 2004;14:1290–4.
Dubay DA, Franz MG. Acute wound healing: the biology of acute wound failure. Surg Clin North Am. 2003;3:463–81.
Carucci LR, Turner MA, Conklin RC, et al. RYGB surgery for morbid obesity: evaluation of postoperative extraluminal leaks with upper gastrointestinal series. Radiology. 2006;238:119–27.
Han SM, Kim WW, Oh J. Results of laparoscopic sleeve gastrectomy at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.
Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.
Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short term outcome. Obes Surg. 2006;16:1323–6.
Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.
Weiner RA, Weiner S, Pomhoff I, et al. Laparoscoic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.
Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy—a restrictive procedure? Obes Surg. 2007;17:57–62.
Felberbauer FX, Langer F, Shakeri-Manesch S, et al. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers. Obes Surg. 2008;18:814–8.
Tucker ON, Szomstein S, Rosenthal RJ. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. J Gastrointest Surg. 2008;12:662–7.
Hamilton EC, Sims TL, Hamilton TT, et al. Clinical predictors of leak after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2003;17:679–84.
Csendes A. Conservative management of anastomotic leaks. Obes Surg. 2006;16:375–6.
Deitel M, Crosby RD, Gagner M. The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg. 2008;18:487–96.
Levison ME, Bush LM. Peritonitis and other intra- abdominal infections. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases, 5th ed. New York, NY: Churchill Livingstone; 2000. p. 821–56.
Lopez-Cano Gomez M, Laguna Del Estal P, Garcia Montero P, et al. Pyogenic liver abscess: clinical presentation and predictors of unfavorable outcome. Gastroenterol Hepatol. 2012;35:229–35.
Ramakrishnan MR, Sarathy TKP, Balu M. Percutaneous drainage of splenic abscess: case report and review of literature. Pediatrics. 1987;79:1029–30.
Aessopos A, Politou M, Farmakis D, et al. Staphylococcus aureus abscess of the spleen in a betathalassemia patient. Scand J Infect Dis. 2002;34:466–80.
Smyrniotis V, Kehagias D, Voros D, et al. Splenic abscess. An old disease with new interest. Dig Surg. 2000;17:354–7.
Benedetti NJ, Desser TS, Jeffrey RB. Imaging of hepatic infections. Ultrasound Q. 2008;24:267–78.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
For this type of study, formal consent is not required.
Informed Consent
Does not apply.
Rights and permissions
About this article
Cite this article
Abdelhady, M.H., Salama, A.F., Karam, M. et al. Solid Organ Infections: Rare Complications After Laparoscopic Sleeve Gastrectomy: a Report of Four Cases. OBES SURG 27, 1374–1380 (2017). https://doi.org/10.1007/s11695-017-2609-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-017-2609-6