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This indicates that the effect of gastric sleeve surgery on pre-existing GERD and the role of the procedure in the development of GERD varies from one person or surgeon to the other. In some of these studies, there was no significant difference in symptoms between those who had a hiatal hernia repair along with their sleeve gastrectomy and those who did not. In another, improvement was only reported in 41% of cases.

In one study, symptoms were resolved in 94% of cases. All the individuals involved experienced symptoms of GERD prior to surgery. Among this group, the average BMI was 51kg/m (2) and the average follow-up period was 20 months. The researchers also reviewed another 12 studies involving 1,863 patients. When hiatal hernia repair was carried out along with the gastric sleeve procedure, the incidence of postoperative GERD symptoms reduced. GERD occurred in around 2.1 to 21% of sleeve gastrectomy patients who didn’t have evidence of the disease prior to surgery. One of the studies showed that up to 84% of patients had symptoms of GERD.Īnother piece of research showed that symptoms of GERD were more common in patients that had gastric sleeve procedures than those who had Roux-en-Y gastric bypass. The average BMI of the patients was 42kg/m (2) and the average follow-up period was 29 months. Stenard and Iannelli analyzed 13 studies on GERD and gastric sleeve surgery. This can lead to the reflux of acidic stomach contents into the esophagus. At the same time, the lower esophageal sphincter gets weaker.

Since the stomach becomes smaller and less compliant, pressure builds up inside. People who undergo sleeve gastrectomy procedures can develop GERD. In comparison, the incidence of dumping syndrome among gastric bypass patients was 17.90% at one month and 18.78% at six months. However, the incidence among those who had a gastric sleeve procedure was 1.49% after one month and 1.12% after six months. The incidence of dumping syndrome was 8.5% across the two groups at both one and six months post-operation. The patients were assessed one and six months after surgery to determine the risk of dumping syndrome following these two procedures. looked at 541 patients who underwent either laparoscopic gastric sleeve surgery or laparoscopic gastric bypass surgery. Since the body rapidly absorbs sugar, there’s a large spike of insulin in the bloodstream that leads to hypoglycemia (a drop in blood sugar). Meanwhile, late signs may appear one to two hours after a meal. Since the stomach is not bypassed, food still takes the usual route to the small intestine.Įarly signs of dumping syndrome occur within 30 minutes of eating and they include: Individuals who undergo gastric sleeve surgery can experience dumping syndrome because the procedure involves the removal of part of the stomach. It occurs when partially digested foods leave the stomach and enter the small intestine too quickly. Dumping Syndromeĭumping syndrome is also called rapid gastric emptying. Post-operative bleeding can be prevented by maintaining blood pressure at 140 to 150 mm Hg in the final stage of surgery and reinforcing the staple line with sutures. Bleeding from the staple line is typically the cause of gastrointestinal hemorrhage. However, bleeding can also be due to damage to the spleen and liver or problems with coagulation. Pain in the abdomen, chest, or shoulderīleeding occurs following 1.16% to 4.94% of sleeve gastrectomies and it usually happens along the staple line.Individuals who have a gastric sleeve leak may develop: In some cases, an abscess develops next to the sleeve. This can cause digestive fluids to leak from the stomach into the abdominal cavity. It occurs when a hole or seam develops between the staples in the new stomach sleeve.

Gastric Sleeve LeakĪ gastric sleeve leak or fistula is the most serious complication that can develop after surgery. Here are some of the possible side effects. If you’re considering a sleeve gastrectomy or you’ve already had one and you’re wondering what to look out for, this article will help you to be prepared. While it typically results in fewer complications than other bariatric procedures, it can still cause side effects. Gastric sleeve surgery is considered one of the safest and most effective procedures for individuals struggling with obesity.