A case of Gastric Sleeve Stricture Resistant to Endoscopic Dilatation

Obesity is becoming an increasingly common disease across the world. Various restrictive and malabsorbptive surgical procedures have been developed to tackle morbid obesity. These procedures though efficient in causing weight loss and decrease in co – morbidities present with their own unique complications. Sleeve gastrectomy is one of the more recent, mainly restrictive procedure which has been gaining rapid popularity. Stricture of the gastric sleeve pouch is a rare and distressing complication of this procedure. Here we present a case of a 44-year-old woman who underwent Sleeve gastrectomy in Gulf 5 years back. She developed a stricture of the sleeve pouch for which she underwent two endoscopic dilatations which did not provide much relief. She was finally treated with a Roux – en – y gastro-jejunostomy which finally improved her symptoms.