Acute pancreatitis as an unusual early postoperative complication after single anastomosis duodeno-ileal with sleeve gastrectomy with duodenal bulb preservation

Jaime P. L. Palomares; Jesús E. O. Gómez; Manuel A. G. Gutiérrez; Valeria J. León; Alberto I. G. Barajas

doi:10.18203/2349-2902.isj20254342

Authors

Jaime P. L. Palomares Department of Bariatric Surgery, Instituto Nefrológico de Tijuana (INT), Tijuana, Baja California, México
Jesús E. O. Gómez Department of Bariatric Surgery, Baja Hospital and Medical Center, Tijuana, Baja California, Mexico https://orcid.org/0000-0001-6386-6010
Manuel A. G. Gutiérrez Department of Bariatric Anesthesiology, Baja Hospital and Medical Center, Tijuana, Baja California, Mexico https://orcid.org/0000-0002-0645-1836
Valeria J. León Department of Bariatric Surgery, Baja Hospital and Medical Center, Tijuana, Baja California, Mexico https://orcid.org/0009-0001-7020-2260
Alberto I. G. Barajas Department of Bariatric Surgery, Baja Hospital and Medical Center, Tijuana, Baja California, Mexico https://orcid.org/0009-0002-5357-5943

DOI:

https://doi.org/10.18203/2349-2902.isj20254342

Keywords:

SADI-S, Acute pancreatitis, Bariatric surgery

Abstract

Acute pancreatitis (AP) is an infrequent complication after bariatric surgery and is associated with procedures that require close dissection to the pancreaticoduodenal area. Herein this case report presents a case of a 35-year-old male who developed severe acute pancreatitis with necrosis after a Single anastomosis duodeno-ileal with sleeve gastrectomy (SADI-S) procedure with preservation of the duodenal bulb. This complication may result from thermal injury during duodenal dissection near the pancreatic head. Early recognition and careful duodenal dissection using harmonic energy with short bursts and cooling intervals are key to prevent this rare but severe postoperative complication.

Author Biography

Jaime P. L. Palomares, Department of Bariatric Surgery, Instituto Nefrológico de Tijuana (INT), Tijuana, Baja California, México

He is the Main Author.

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