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Strategies for diagnosing and managing gastric diverticulum in sleeve gastrectomy
A gastric diverticulum is an uncommon abnormality in which there is an outpouching of the gastric wall. They are usually asymptomatic and found incidentally on imaging [1]. Rarely, gastric diverticula can cause a variety of gastrointestinal symptoms, such as epigastric pain, nausea, vomiting, and reflux [2]. These symptoms are typically well managed with antacid medications, and surgical intervention is only warranted if medical therapy fails [3].Recurrent hiatal hernia repair after sleeve gastrectomy
Hiatal hernia (HH) found at the time of sleeve gastrectomy (SG) should be repaired during the index operation. Crural repair with SG provides control of gastroesophageal reflux disease (GERD) and weight loss [1]. We report the case of a woman who had a SG with concomitant repair of HH, who then presented with symptoms of dysphagia, nausea, and reflux 64 months postoperatively.The revised sleeve gastrectomy: Technical considerations
The laparoscopic sleeve gastrectomy (LSG) was introduced in the early 2000s as the first step of a bariatric procedure, carried out only for super-obese, high-risk patients, to reduce the high morbidity of laparoscopic biliopancreatic diversion/duodenal switch [1] or Roux-en-Y gastric bypass (RYGB) [2] . Because of excellent weight loss success in the short-time follow-up, LSG has gained popularity as the sole and definitive bariatric procedure. This explains the actual trend for this procedure, from 480 cases in 2005 to 13,557 cases in 2011, the LSG has become the most common bariatric procedure in France.
