Bariatric surgery has become an integral part of morbid obesity treatment with well-defined indications. Some complications, specific or not, due to laparoscopic sleeve gastrectomy (LSG) procedure have recently been described. We report a rare complication unpublished to date: a nasogastric section during great gastric curve stapling. A 44-year-old woman suffered of severe obesity (BMI 36.6 kg/m2) with failure of medical treatments for years. According to already published technique, a LSG was performed. Six hours postoperatively, a nurse removed the nasogastric tube according to the local protocol and the nasogastric tube was abnormally short, with staples at its extremity. Surgery was performed with peroperative endoscopy. In conclusion, this is the first publication of a nasogastric section during LSG. Therefore we report this case and propose a solution to prevent its occurrence. To avoid this kind of accident, we now systematically insert the nasogastric tube by mouth through a Guedel cannula. Then, to insert the calibrating bougie, we entirely withdraw the nasogastric tube.
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机译：减肥手术已成为病态肥胖治疗不可或缺的一部分，具有明确的适应症。最近已经描述了由于腹腔镜袖胃切除术（LSG）手术而引起的某些并发症，无论是否特定。我们报道了迄今尚未发表的罕见并发症：巨大的胃弯曲吻合期间的鼻胃切片。一名44岁的女性患有严重的肥胖症（BMI 36.6 kg / m2），多年来未接受治疗。根据已经公开的技术，执行了LSG。术后六个小时，一名护士根据当地协议取下了鼻胃管，鼻胃管异常短，四肢处有缝钉。手术是通过手术内镜进行的。总之，这是LSG期间鼻胃科的首次出版。因此，我们报告这种情况并提出解决方案以防止其发生。为了避免此类事故，我们现在将口鼻管通过Guedel插管系统地插入。然后，为了插入校准弹簧，我们完全撤回了鼻胃管。
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