EXPERT
Abdelhai Abdelqader
Gastroenterologist
Dr. Abdelhai Abdelqader is a gastroenterologist practicing in SARASOTA, FL. Dr. Abdelqader specializes in the digestive system and its diseases that affect the gastrointestinal tract, which include organs from the mouth to the anus as well as liver disorders. Gastroenterology includes conditions such as hepatitis, peptic ulcer disease, colitis, nutritional problems and irritable bowel syndrome. Dr. Abdelqader performs colonoscopy and endoscopy procedures and provides accurate and thorough care for patients suffering from digestive issues.
10 years
Experience
Abdelhai Abdelqader
- SARASOTA, FL
- St. Georges University
- Accepting new patients
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Can gastric sleeve surgery cause any issues?
This is a very good question. There are issues that can occur right after surgery (acute post-operative), and issues that can occur after your body heals from the surgery (chronic). READ MORE
This is a very good question. There are issues that can occur right after surgery (acute post-operative), and issues that can occur after your body heals from the surgery (chronic).
Acute issues can very and often be severe, but do not always happen. This includes, sleeve leak, bleeding, sleeve stenosis. Sleeve leak means there is a disruption along the staple line of where the stomach was cut. This leads to fluid in the stomach to leak outside the stomach, which can get infected causing pain and fevers. This often requires drainage. Drainage in this situation can be done by a tube put from skin to the abscess. If there is an interventional endoscopist, this maybe drained internally with a temporary stent. Either way, most heal and do not need surgery. If surgery is needed, you may need to get IV nutrition, nothing by mouth and conversion to roux-en-y gastric bypass. Stenosis means there is a kink in the stomach making it difficult for food to go to the bottom of the stomach, leading to nausea and vomiting. This may need surgical revision or conversion to roux-en-y gastric bypass. Bleeding can be self-limited.
Chronic issues also include sleeve stenosis, but reflux. Since the top of the stomach (fundus) is cut out, there is no accommodation of more food, so any over eating or even reduced portions can and do reflux back into the chest. This makes patients very uncomfortable and some may get a linx procedure for reflux or get converted to a roux-en-y gastric bypass.
Alternatively, a sleeve can be done endoscopically (without cutting at skin site). This is called endoscopic sleeve gastroplasty (ESG). If you have had a sleeve gastrectomy and regained weight, but do not want to get converted to a roux-en-y gastric bypass, you can use ESG technique to revise your stomach without surgical incisions.
Acute issues can very and often be severe, but do not always happen. This includes, sleeve leak, bleeding, sleeve stenosis. Sleeve leak means there is a disruption along the staple line of where the stomach was cut. This leads to fluid in the stomach to leak outside the stomach, which can get infected causing pain and fevers. This often requires drainage. Drainage in this situation can be done by a tube put from skin to the abscess. If there is an interventional endoscopist, this maybe drained internally with a temporary stent. Either way, most heal and do not need surgery. If surgery is needed, you may need to get IV nutrition, nothing by mouth and conversion to roux-en-y gastric bypass. Stenosis means there is a kink in the stomach making it difficult for food to go to the bottom of the stomach, leading to nausea and vomiting. This may need surgical revision or conversion to roux-en-y gastric bypass. Bleeding can be self-limited.
Chronic issues also include sleeve stenosis, but reflux. Since the top of the stomach (fundus) is cut out, there is no accommodation of more food, so any over eating or even reduced portions can and do reflux back into the chest. This makes patients very uncomfortable and some may get a linx procedure for reflux or get converted to a roux-en-y gastric bypass.
Alternatively, a sleeve can be done endoscopically (without cutting at skin site). This is called endoscopic sleeve gastroplasty (ESG). If you have had a sleeve gastrectomy and regained weight, but do not want to get converted to a roux-en-y gastric bypass, you can use ESG technique to revise your stomach without surgical incisions.
Can colon polyps be removed?
Absolutely, and would recommend not waiting to remove them.
