General
Hospital stay 1-2 daysRecovery 1-2 weeks Contraindications
- Poor surgical candidates
- Sever psychiatric disorder
- Intolerance to general anesthesia
- Pregnancy
- Drug or alcohol addiction
- Untreated or sever esophagitis
- Barrett›s esophagus
- Sever gastroparesis
- Achalasia
- Previous gastrectomy
Sometimes used as staged approach to gastric by-pass
Potential acute complications
Postoperative complications are rareHemorrhageAnastomotic staple line leakDeep vein thrombosisPulmonary emboliDehydrationDeath
Potential chronic complications
Weight regainMarginal ulcerDumping syndrome with reactive hypoglycemiaLuminal stenosis (stomal narrowing)Anastomotic staple line leakFistula formationIron deficiencyProtein malnutritionOther nutritional and mineral deficiencies (vitamins A, C, D, E, B and K, folate, zinc, magnesium, thiamine)Anemia (often related to mineral and nutrition deficiencies)Neuropathies (resulting from nutritional deficiencies)Osteoporosis (often caused by calcium deficiencies and chronically elevated parathyroid hormone levels)Potential need to re-operate