lap_band
Differences
This shows you the differences between two versions of the page.
| Both sides previous revisionPrevious revision | |||
| lap_band [2026/07/27 23:53] – [Complications of gastric sleeve surgery] gary1 | lap_band [2026/07/27 23:55] (current) – [Complications of gastric sleeve surgery] gary1 | ||
|---|---|---|---|
| Line 38: | Line 38: | ||
| * causes progressive, | * causes progressive, | ||
| ***severe [[GOR]]** | ***severe [[GOR]]** | ||
| - | * very common long-term complication and risks [[neo_oesophagus]] | + | * very common long-term complication |
| + | * NB. some patients will actually have relief of their pre-existing GORD due to weight loss from the surgery | ||
| * whilst gastric acid secretion is reduced due to loss of parietal cells, a gastric sleeve creates a high-pressure system while simultaneously weakening the anatomy designed to prevent backflow | * whilst gastric acid secretion is reduced due to loss of parietal cells, a gastric sleeve creates a high-pressure system while simultaneously weakening the anatomy designed to prevent backflow | ||
| * the surgery transforms a large, highly distensible stomach pouch into a long, narrow, rigid tube with a capacity of only about 150 mL | * the surgery transforms a large, highly distensible stomach pouch into a long, narrow, rigid tube with a capacity of only about 150 mL | ||
| Line 44: | Line 45: | ||
| * normally, the oesophagus enters the stomach at a sharp, acute angle known as the Angle of His. This angle acts as a flap-valve: when the stomach fills, it presses against the esophagus to seal it shut. Creating a straight sleeve obliterates this acute angle, removing a major natural flap-valve mechanism. | * normally, the oesophagus enters the stomach at a sharp, acute angle known as the Angle of His. This angle acts as a flap-valve: when the stomach fills, it presses against the esophagus to seal it shut. Creating a straight sleeve obliterates this acute angle, removing a major natural flap-valve mechanism. | ||
| * the surgical dissection and stapling close to the gastro-oesophageal junction frequently sever the "sling fibres" | * the surgical dissection and stapling close to the gastro-oesophageal junction frequently sever the "sling fibres" | ||
| + | * if the sleeve is stapled too tightly or becomes twisted/ | ||
| * as the volume of fluid required to trigger reflux is much lower, what little acid is produced still ends up in the oesophagus and more importantly, | * as the volume of fluid required to trigger reflux is much lower, what little acid is produced still ends up in the oesophagus and more importantly, | ||
| ***[[vitb12]] deficiency** | ***[[vitb12]] deficiency** | ||
lap_band.txt · Last modified: 2026/07/27 23:55 by gary1