Conservative management of esophageal perforation following obesity surgery

Sao Paulo Med J. 2006 Nov 7;124(6):340-2. doi: 10.1590/s1516-31802006000600008.

Abstract

Context: Laparoscopic adjustable silicone gastric banding (LASGB) is one of the several surgical techniques for treating patients with morbid obesity. Erosion and perforation in the gastric chamber caused by LASGB are rare complications that have already been described. There have not yet been any reports of perforation of the middle esophagus during this procedure.

Case report: The authors describe the case of a patient who presented the complication of very extensive perforation of the middle third of the esophagus following LASGB. This was successfully managed using conservative treatment.

CONTEXTO:: Banda gástrica laparoscópica ajustável de silicone (LASGB) é uma das várias técnicas cirúrgicas para o tratamento de pacientes com obesidade mórbida. A erosão e a perfuração para o interior da câmara gástrica causados pela LASGB são complicações raras já descritas. Não se encontram relatos de perfuração do esôfago médio durante esse procedimento.

RELATO DE CASO:: Descrevemos o caso de uma paciente que apresentou como complicação, uma perfuração extensa do esôfago médio após LASGB, submetida a tratamento conservador com sucesso absoluto.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Ceftriaxone / therapeutic use
  • Enteral Nutrition
  • Enzyme Inhibitors / therapeutic use
  • Esophageal Perforation / drug therapy*
  • Esophageal Perforation / etiology
  • Female
  • Gastroplasty / adverse effects*
  • Humans
  • Intraoperative Complications / drug therapy*
  • Laparoscopy / adverse effects*
  • Metronidazole / therapeutic use
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Omeprazole / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Enzyme Inhibitors
  • Metronidazole
  • Ceftriaxone
  • Omeprazole