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Laparoscopic sleeve gastrectomy: Everything the radiologist needs to know

      Highlights

      • Sleeve gastrectomy is an effective weight loss surgery.
      • UGI series is generally performed soon after surgery to detect a leak.
      • Extraluminal contrast may be seen in a track, collection, drain or in the peritoneum.
      • CT is useful to detect leak, hemorrhage, splenic injury, abscess, and thromboembolism.
      • Focal strictures may be treated endoscopically, but long ones may require surgery.

      Abstract

      Obesity has become an epidemic in the United States, and bariatric surgery is being increasingly performed for its management. There has been an increased number of laparoscopic sleeve gastrectomies performed for the treatment of morbid obesity due to its efficacy and lower complication rate compared to other bariatric surgical techniques. The authors discuss the surgical technique, review the imaging of normal and complicated sleeve gastrectomy, and highlight radiographic pitfalls.

      Keywords

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