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

• Main Authors: Palanivelu Praveen Raj, Shivanshu Misra, Siddhartha Bhattacharya, S Saravana Kumar, T S Ramesh Kumar, Mohd Juned Khan, C Palanivelu
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: benign oesophageal stricture; de novo gastro-oesophageal reflux disease; laparoscopic sleeve gastrectomy; revisional roux-en-y gastric bypass
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=3;spage=282;epage=284;aulast=Raj

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.