Lower oesophageal peptic stricture after laparoscopic sleeve gastrectomy: World's first case report

J Minim Access Surg. 2020 Jul-Sep;16(3):282-284. doi: 10.4103/jmas.JMAS_29_19.

Abstract

Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery worldwide. De novo gastroesophageal reflux disease after LSG has been reported in the range of 0%-34.9%. Benign lower oesophageal peptic stricture is rare and has not been reported till date. We present the first case report of benign oesophageal peptic stricture post-sleeve gastrectomy and its management. The management modalities for peptic stricture post-LSG include proton pump inhibitors, endoscopic dilatation and surgical management. Revisional Roux-en-Y gastric bypass along with optimal usage of serial dilatation and medical treatment has been shown to be an effective treatment for the same.

Keywords: Benign oesophageal stricture; de novo gastro-oesophageal reflux disease; laparoscopic sleeve gastrectomy; revisional Roux-en-Y gastric bypass.