A patient underwent sleeve gastrectomy, on 3rd postop day, she complains of fever. O/E- patient is febrile & PR- 110/min. CBC shows leucocytosis. What is the next best step in management of this patient?
Given scenario suggests that there is staple line leak at angle of His which is a common complication after laparoscopic sleeve gastrectomy Staple line leak at the angle of His may presents any time after discharge up to 30 days Patients can deteriorate rapidly with sepsis. Management: Urgent re-exploration - source control by drainage Long term nutritional suppo is needed as patients are severely catabolic after complication
Broad spectrum antibiotics
Abdominal USG to locate the septic focus
CECT abdomen
Re-exploration
Robotics, Laparoscopy and Bariatric Surgery