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Hepatic abscess as a complication of duodenal-jejunal bypass sleeve system and review of the literature
The obesity epidemic is steadily increasing worldwide, and high body mass index (BMI) is a major risk factor for cardiovascular diseases, diabetes, hypertension, musculoskeletal disorders, and also some cancers [1]. Diets are generally unsuccessful [2]. Bariatric surgery is today the main treatment for severe obesity [3]. There is a strong interest in finding less invasive methods [4] and whether that preoperative weight loss improves surgery outcomes [2] and reduces perioperative complications [5].Symptomatic gastric diverticulum after gastric imbrication with conversion to sleeve gastrectomy
Laparoscopic gastric imbrication (LGI) helps to promote weight loss by reducing the size of the stomach by plicating the greater curve of the stomach. However, if the stomach is not adequately plicated at the fundus, gastric diverticula occur. In this case the gastric diverticulum became symptomatic (chronic nausea) and necessitated conversion to a laparoscopic sleeve gastrectomy, which resulted in a resolution of the patient’s symptoms.
