{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:18:04Z","timestamp":1773101884226,"version":"3.50.1"},"reference-count":0,"publisher":"Annali Italiani di Chirurgia","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann. Ital. Chir."],"abstract":"<jats:p>AIM: Gastric twist is a rare, however, troublesome complication of laparoscopic sleeve gastrectomy. This report describes a case complicated by perforation and leak in addition to twist. The patient was managed conservatively and successfully. CASE PRESENTATION: A 29-year-old female patient with a body mass index (BMI) of 41.3 kg\/m2 (111 kg\/1.64 m), who underwent gastric band insertion six years ago, recently experienced postprandial vomiting. Endoscopic examination revealed grade A esophagitis, minor antral gastropathy, and mild bulbar duodenitis. Her BMI was calculated at 33.1 kg\/m2 (89 kg\/1.64 m). One week later, she had a laparoscopic band removal and sleeve gastrectomy using an endo GIA Tri-stapler. Both the surgical and postoperative periods proceeded without complications, and she was discharged home the next day after surgery. The patient was readmitted after two weeks due to an organo-axial gastric volvulus, which was managed with stent placement. Six weeks following, a stomach leak and peri splenic fluid collection were diagnosed. A 12 mm Ovesco clip was employed to seal a perforation situated 35 cm from the incisors. Subsequently, a MEGA bariatric stent was placed. RESULTS: Two months after the removal of the MEGA stent, the patient had recovered completely and was in good health. CONCLUSIONS: Gastric twist after sleeve gastrectomy is a rare condition; a high index of suspicion is required for diagnosis. Prioritize conservative treatment to prevent the risk of revisional surgery.<\/jats:p>","DOI":"10.62713\/aic.3742","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T23:25:18Z","timestamp":1736465118000},"source":"Crossref","is-referenced-by-count":1,"title":["Conservative Management of Gastric Twist and Leak Post Band Removal and Sleeve Gastrectomy"],"prefix":"10.62713","volume":"96","author":[{"given":"Mohammad N","family":"Nofal","sequence":"first","affiliation":[{"name":"General Surgery and Anesthesia Department, Faculty of Medicine, Mutah University, 61710 Karak, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9695-3425","authenticated-orcid":true,"given":"Ali","family":"Yousef","sequence":"additional","affiliation":[{"name":"General Surgery and Anesthesia Department, Faculty of Medicine, Mutah University, 61710 Karak, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Salah","sequence":"additional","affiliation":[{"name":"Consultant Gastroenterologist, Arab Medical Center, 11181 Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad H","family":"Samarah","sequence":"additional","affiliation":[{"name":"General Surgeon, Arab Medical Center, 11181 Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"48935","published-online":{"date-parts":[[2025,1,10]]},"container-title":["Annali Italiani di Chirurgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/annaliitalianidichirurgia.it\/index.php\/aic\/article\/download\/3742\/3254","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/96\/1\/10.62713\/aic.3742","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T01:45:36Z","timestamp":1769391936000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/96\/1\/10.62713\/aic.3742"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,10]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"alternative-id":["3742"],"URL":"https:\/\/doi.org\/10.62713\/aic.3742","relation":{},"ISSN":["0003-469X","2239-253X"],"issn-type":[{"value":"0003-469X","type":"print"},{"value":"2239-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,10]]},"article-number":"14"}}