ROLE OF 3D MULTISECTOR GASTRIC CT IN IMAGING POST BARIATRIC SURGERY PATIENTS

Document Type : Original Article

Authors

1 Qalyoub specialized hospital - Qalyubia, Faculty of Medicine - Ain Shams University Cairo, Egypt.

2 Department of Radiology - Faculty of Medicine - Ain Shams University - Cairo, Egypt.

Abstract

Background: Bariatric surgery has been shown to be an effective and safe treatment for obesity and metabolic disorders, but a variety of complaints may arise. Identification of the causes of such symptoms is often challenging due to the postoperatively modified anatomy. Quantitative three (3d) computed tomography (3D-CT) of the upper gastrointestinal tract offers a novel, adjunctive examination, revealing the detailed anatomy.
Aim the Work: to analyze the clinical value of 3D-CT in post-bariatric patients.
Patients and Methods: This study included 62 patients who underwent bariatric surgery from day one up to one year at Ain Shams University Hospitals.
Results: In our study we explain the complaints among 62 patients who underwent bariatric surgeries e.g LSG, RYGB, GBS and MGB. Regarding LSG in which they are 25 patients, about 13 patients are without complication and the other 12 patients are having complications e.g port infection is about (8%),leakage is about (24 %),fistulous tract formation is about (8%) and gastric dilation is about (8%).Regarding RYGB in which they are 19 patients, 7 patients without complications and 12patients are having complications e.g pouch dilation is about (31.6%), leakage is about (15.8%),port infection is about (15.8%).Regarding GBS in which they are about 11 patients,6patients are without and 5patients are having complications e.g staple line disruption is about (27.3%) and pouch dilation is about (18.2%) .
Regarding MGB in which they are 7 patients,2 patients are without complications and 5 patients are having complications egpouch dilation is about (57.1%) and leakage is about (14.3%).
Conclusion: Multislice computed tomography allows crucial anatomical measurements and provides helpful information about gastric volume reduction in all patients referred for failure or complications after bariatric surgeries.

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