Gastric sleeve leakage

Gastric sleeve leakage overview | Symptoms & treatment

Gastric sleeve surgery reduces the stomach size so that the patient feels fuller with less food intake. Furthermore, the best bariatric surgeon in Lahore removes the part of the stomach that produces the hormone for hunger. The surgery removes approximately 80% of the stomach and leaves only the shape of a banana. However, just like any surgery, sleeve gastrectomy may also pose some risks, such as gastric sleeve leakage. Sleeve gastrectomy is the most common bariatric procedure, and the risk of leakage is as typical as 2.4%.

What is gastric sleeve surgery?

The surgeons use staples to reduce the size. If you choose the best bariatric surgery in Lahore for yourself, you may avoid it. However, there may be leaks along the staple line due to improper healing from the seal. Consequently, it will result in the leakage of the gastrointestinal content such as gastric juice. Such leakage may cause serious problems because it contains bacteria and may cause infection.

The most common site for gastric sleeve leakage

The research studies indicate that 70% of the leakages occur along the staple line just below the esophagogastric junction. This is the junction where the esophagus joins the stomach.

Signs & symptoms of leakage

Post-surgery, the diagnosis for the leakage is quite tricky. However, such leakage may increase the risk of possible morbidities. Furthermore, it may increase the mortality rates as well. Following are some common symptoms of leakage in the staples.

  • Fever
  • Tachycardia – elevated heartbeat
  • Abdominal pain
  • Oliguria – lesser urine
  • Tachypnea – fast breathing
  • Low blood pressure is often known as hypotension
  • Chest pain

These symptoms can be observed only after 3 to 4 days of the surgery.


According to the best bariatric surgeon in Lahore, the patients who undergo laparoscopic bariatric surgery are at a higher risk of sleeve gastrectomy leaks. The research studies report that 6.3% of people experiencing LSG suffer from leakage. However, people who opt for other bariatric surgeries for weight loss are prone to leaks for only 1.6%.


The only possible solution to such a grave situation is revision surgery. However, the revision surgery is further divided into the following:

  • Conversion
  • Corrective
  • Reversal

The surgery helps to remove the fluid and seal the leaking spot along the staple line.

Other than the surgical treatments, there are also options for nonsurgical treatment for sleeve gastrectomy leaks. Provided that your leakage is not severe, you may recover with the nonsurgical treatment as well. This approach of recovery is the best for clinically stable patients. It includes the patient consuming food via mouth. The nutrition and hydration via veins, antibiotics, and fluid.