Radiological assessment of Gastric Sleeve Complication By Multislice CT study

Background: Currently, laparoscopic sleeve gastrectomy (LSG) has emerged as the most widely used bariatric treatment in contemporary practice. The use of computed tomography (CT) during the first post-operative phase is essential in the event of early postsurgical complications.
Objectives: The purpose of the research was to know the value of CT in the evaluation of the complications of LSG.
Patients and methods: This observational cohort research included a sample of hundred and fifty-five individuals who had LSG. CT scans were performed on all participants who were either radiologically or clinically suspected of experiencing complications.
Results: A total of hundred fifty-five individuals were included in the screening process for this research. Among them, a hundred of the participants (64.5%) exhibited normal conditions, with no indications of complications. Out of the total sample size of fifty- five patients, a significant proportion of 35.5% were found to have variable outcomes.   The most prevalent complication observed in the present research was leakage, occurring in twenty instances (11%). Among these cases, five were recognized within forty-eight hours after surgery, while the other fifteen cases were identified between seven- and five-days post-surgery. Pneumonia was diagnosed in five cases, representing 2.75% of the total sample.  The prevalence of fistula was found to be five cases, accounting for 2.75% of the total sample. Stenosis was seen in four cases, representing 2.2% of the sample. The occurrence of abscess collection was noted in six cases, constituting 3.3% of the sample. A single case of pulmonary embolism was identified, accounting for 0.55% of the sample. A total of six instances (3.3%) were found to have hematoma based on CT scans, while two cases (1.1%) were identified as having splenic abscess using CT imaging. Portal venous thrombosis occurred in one out of hundred eighty-two instances, resulting in a prevalence rate of 0.55%. Additionally, dilatation of the gastric sleeve pouch was seen in five out of hundred eighty-two cases, corresponding to a prevalence rate of 2.75%.
Conclusion: Given the growing frequency and prevalence of LSG, CT is a crucial imaging modality used for the identification of potential problems with accurate diagnoses and achieving precision. Additionally, CT is employed in situations when there is a discrepancy between and the results obtained from regular upper gastrointestinal tract (GIT) tests and symptoms reported by the patient