ABSTRACT

Background: Gastric complications following bariatric surgeries present intricate challenges, demanding a nuanced understanding of potential complications and tailored management. We explore a rare case of a 63-year-old male experiencing persistent postprandial vomiting, epigastric pain, and difficulty swallowing after laparoscopic sleeve gastrectomy and gastric bypass, complicated by gastric band erosion and Actinomycosis. Case Presentation: The patient's symptoms prompted a comprehensive diagnostic journey, involving upper gastrointestinal endoscopy and abdominal CT, revealing a tumorous mass, possible gastric band erosion, and prior surgical alterations. Subsequent surgical exploration confirmed eroded gastric band and prior Billroth II anatomy. Postoperatively, the patient faced high-grade jejunal obstruction, necessitating emergent re-fashioning of the jejunojejunal anastomosis. Conclusion: This case underscores thecomplexity of gastric complications post-bariatric surgery, particularly with the rare confluence of gastric band erosion and Actinomycosis. Comparison with existing literature highlights the need for a multidisciplinary approach, thorough diagnostic investigations, and timely surgical interventions to address these intricate challenges effectively. Keywords: Bariatric surgery, Gastric complications, Gastric band erosion, Actinomycosis, Postprandial vomiting, Laparoscopic sleeve gastrectomy, Gastric bypass, Jejunal obstruction
Publication date: 15/12/2023

https://ijbpas.com/pdf/2023/December/MS_IJBPAS_2023_DECEMBER_SPCL_1078.pdf

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https://doi.org/10.31032/IJBPAS/2023/12.12.1078