Manga Gástrica en Tratamiento para Obesidad Mórbida y sus complicaciones

Abstract

The sleeve gastrectomy is a surgical procedure for the treatment of morbid obesity indicated in people with higher BMI (body mass index) of 40 kg / m2 or BMI of 35 to 39.9 kg / m2 more severe comorbidities.

Obesity is a disease whose prevalence is increasing both in Ecuador and in the rest of the world. Poor diet and insufficient physical activity were the main risk factors for this alarming increase. Obesity is associated with an increased risk of diabetes mellitus, dyslipidemia, cardiovascular disease, cancer, bone and joint disease and other diseases that significantly impair the quality of life of people.

Clinical Case Analysis: male patient aged 43 underwent bariatric surgery for morbid obesity grade II, body mass index (BMI) 38.5 more comorbidities, hypertension, diabetes mellitus II, herniated disc L4 and L3, and eating disorder. Checks before bariatric surgery do not yield to pharmacological and non-pharmacological conventional medical treatment.

Latacunga IESS Hospital, Surgery department with corresponding conducting pre-surgical examination performed surgical procedure without complications. On the third day post-surgical patient presented left upper quadrant pain of great intensity and apparent cause ingestion of solid foods. Dren with liquid odor, suspicious clinical picture compatible to more peritonitis secondary dehiscence suture.

Patient underwent surgery again where fetid liquid contained approximately 20cc is evidenced, subsequently suture level reaching the diagnosis of gastric fistula is performed.