Abstract
A gastric diverticulum is a rare finding in which the wall of the stomach forms an abnormal sac-like projection. Gastric diverticula can be problematic causing symptoms including but not limited to chronic gastroesophageal reflux, abdominal pain, and bloating. When a gastric diverticulum becomes symptomatic, removal is indicated. In specific cases, laparoscopic gastric diverticula resection can be completed with concurrent bariatric surgery. We report the perioperative approach used in a 34-year-old obese woman with a confirmed symptomatic gastric diverticulum undergoing a gastric diverticulum resection with a concurrent laparoscopic sleeve gastrectomy.
Highlights
A gastric diverticulum is an outpouching, sac-like protuberance of the stomach
We report the perioperative approach used in a 34-year-old obese woman with a confirmed symptomatic gastric diverticulum undergoing a gastric diverticulum resection with a concurrent laparoscopic sleeve gastrectomy
Gastric diverticula are uncommon with a prevalence of 0.04% diagnosed in radiographs with contrast and between 0.01% and 0.11% diagnosed in upper gastrointestinal endoscopy [1,2,3]
Summary
A gastric diverticulum is an outpouching, sac-like protuberance of the stomach. Gastric diverticula are uncommon with a prevalence of 0.04% diagnosed in radiographs with contrast and between 0.01% and 0.11% diagnosed in upper gastrointestinal endoscopy [1,2,3]. A laparoscopic sleeve gastrectomy (LSG) is a bariatric surgical procedure in which the fundus and greater curvature of the stomach are resected, removing 70%-80% of the stomach’s original volume. She will be counseled on discontinuing her antacids and encouraged to continue taking vitamin supplementation daily
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