Post-Op Endoscopic Sleeve Gastroplasty Concerns*

Call Us at (713) 993-7124

WARNING: Unpleasant symptoms occurring after Obesity Surgery can indicate a progressing and/or life threatening problem that could require immediate hospitalization or surgery to control. Failure to notify the doctor immediately could result in preventable injury or death. Call 713-993-7124 IMMEDIATELY if untoward symptoms occur.

EARLY POTENTIAL COMPLICATIONS (the first 7-10 days after surgery)

In general the first week after surgery is an important period to monitor for problems, as the majority of complications will occur during this time.

Blood Clots

This is a rare problem which occurs in less than 1% of patients. Obese patients are more prone to developing blood clots in the veins of the legs than are normal weight patients. The clot is dangerous because if it were to break off it might travel up the blood stream to the lung where is could suddenly decrease blood flow. This is known as a pulmonary embolism and frequently is fatal. The treatment is PREVENTION of the formation of blood clots. Our patients are given a short-acting blood thinner before surgery and sequential leg squeezing devices are fitted over the legs during the operation. Although, both of these are somewhat effective, neither is anywhere near as effective as the main treatment, which is getting out of bed and walking within 2 hours of the end of the operation. EARLY MOBILIZATION is the key to preventing blood clots. It is the most important thing the patient can do for him/herself around the time of the surgery.

LONG TERM POTENTIAL COMPLICATIONS (can occur any time after surgery)

Stenoses

A stenosis is a narrowed area somewhere along the tapered tube of stomach. A stenosis is thought to be from over-scarring at the site of involvement with subsequent contraction of the scar. This can lead to a very small channel only a few millimeters wide. The classic story is that the patient was initially able to tolerated solid foods, but a few weeks later started to vomit solids but could handle liquids. Later there might be progression of intolerance to soft food and later liquids.

The treatment of a stenosis is to assess the area with upper endoscopy. If necessary a balloon can be passed into the channel and used to dilate it to a larger size. This treatment is usually effective; however, an occasional patient might require serial dilatations. Although dilatations are relatively safe there is a small risk of perforation of the bowel which would require emergency Open Surgery to correct.

Stomach Obstruction

A stomach obstruction is a blockage which leads to both vomiting and moderate to severe abdominal pain. Because the stomach is now a narrow tube that does not have its usual lateral attachments, it is possible for the tube to kink or twist leading to a blockage. This problem is thought to be very rare, and has only been reported in a few patients across the country. If this cannot be corrected with conservative therapy then an operation to untwist the stomach may be necessary.

IMPORTANT: The problems above are a partial list of all possible complications that can occur after this procedure. Some complications are rare and may be beyond the experience of the surgeon or even the surgical literature. Complications are usually not foreseeable.

WARNING: Unpleasant symptoms occurring after Obesity Surgery can indicate a progressing and/or life threatening problem that could require immediate hospitalization or surgery to control. Failure to notify the doctor immediately could result in preventable injury or death. Call 713-993-7124 IMMEDIATELY if untoward symptoms occur.

* Results will vary by person and are based upon the patient, the surgery type and the compliance with the aftercare program. As with any medical procedure or surgery, there are specific risks and possible complications. The testimonials, statements, and opinions presented on our website are applicable to the individuals depicted. Results may not be representative of the experience of others. Testimonials are voluntarily provided and are not paid, nor were they provided with free products, services, or any benefits in exchange for said statements. The testimonials are representative of patient experience but the exact number of pounds lost and experience will be unique and individual to each patient.

Make an appointment with Dr. Marvin for diagnosis and treatment.