Obesity & Weight Management

Bleeding and leaks, related to the long gastric staple line, are the most feared complications aft er LSG reinforcement of the staple line can be done with diff erent buttressing materials and also performing a running suture of the staple line. In our hospital we routinely prevent bleeding and leaks at the gastric sleeve with the use of a reinforcing running suture with omentoplasty of the whole length of the gastric staple-line. We have used an sliding self-locking 1st stitch and fi nish it with the Aberdeen-DeCushieri knot in more than 1450 cases in SG plus omentoplasty on the staple-line full antrectomy, omentoplasty plus suture reinforcement of the staple-line prevent twisting of the sleeve, bleeding and may decrease the leak rate.