RESUMO
We present a case of intraoperative detection of an iatrogenic chyle duct injury during laparoscopic sleeve gastrectomy. The chyle duct injury was identified and managed by ligature, preventing postoperative chylous ascites.
Assuntos
Quilo , Ascite Quilosa , Laparoscopia , Obesidade Mórbida , Humanos , Ascite Quilosa/etiologia , Ascite Quilosa/prevenção & controle , Obesidade Mórbida/cirurgia , Laparoscopia/efeitos adversos , Gastrectomia/efeitos adversosRESUMO
As bariatric surgeries (BS) increase, more incidental findings are liable to be discovered. Incidental gastric gastrointestinal stromal tumors (GISTs) during BS can be found in around 0.7% of the cases. In this article, we have performed a systematic review of the literature and added our data to those of the review to review a conceptual treatment strategy to both improve patient outcomes and decrease the risk of overall cancer. With the rise of new bariatric techniques, we have proposed a new classification to BS to enhance our description of the treatment strategy.
