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J Minim Access Surg. 2019 Apr 24. doi: 10.4103/jmas.JMAS_29_19. [Epub ahead of print]

Lower oesophageal peptic stricture after laparoscopic sleeve gastrectomy: World's first case report.

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GEM Hospital and Research Center, Coimbatore, Tamil Nadu, India.


Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery worldwide. De novo gastroesophageal reflux disease after LSG has been reported in the range of 0%-34.9%. Benign lower oesophageal peptic stricture is rare and has not been reported till date. We present the first case report of benign oesophageal peptic stricture post-sleeve gastrectomy and its management. The management modalities for peptic stricture post-LSG include proton pump inhibitors, endoscopic dilatation and surgical management. Revisional Roux-en-Y gastric bypass along with optimal usage of serial dilatation and medical treatment has been shown to be an effective treatment for the same.


Benign oesophageal stricture; de novo gastro-oesophageal reflux disease; laparoscopic sleeve gastrectomy; revisional Roux-en-Y gastric bypass

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