The re-shaping of the stomach for weight loss with a Sleeve Gastrectomy can be a technically challenging procedure. There are complications such as stricture, cork-screw stomach, GERD, nausea and vomiting that can lead to further health issues and possibly nutritional issues.
Upper GI pictures of Sleeved Stomach
In the following series of pictures you can visualize that the Sleeve Gastrectomy in the first picture is a hard angled S shape with two stricture points. The second picture points out the two stricture points and the outline the sleeve gastrectomy of a patient referred to our practice for complications of stricture and GERD post sleeve gastrectomy in need of revision. Surgical revision of gastric stricture is highly technical and challenging. It also takes experience in identifying possible options available to the patient.
The outline in light blue depicts the shape a sleeve gastrectomy should follow.
Why are strictures bad? What is the problem with having and living with a stricture? Strictures caused by Sleeve gastrectomy or Duodenal Switch, SIPS/SADI procedure can have detrimental effects. The long-term complications may include, irreversible injury to the esophagus and the stomach above the stricture, Teeth and gum damage, aspiration in addition to nutritional deficits because of the inability to tolerate healthy meals. Additional information regarding complications that can arise from stricture, nausea and vomiting here.
Strictures can not be repaired by dilation in most cases since on one side of the narrowed section is formed by the sample line. These should be addressed surgical by an experienced surgeon. Ideally a a stricture would be avoided at all cost by assuring that the sleeves are not done too tight and narrowed and that there are no sharp angles created when the stomach is divided during these procedures. The repair of these strictures of the stomach in the duodenal switch, sleeve and the SADI/SIPS procedures are complicated since the remnant stomach is removed and the options are limited. Additional information regarding stricture complications and pictures of other stricture types here.