What are the most troublesome complications?
Gastric leaks (from the stomach) can occur within the first month after surgery. It is almost always at the same point, being the very top end of the stomach resection. The cause it not known and despite utmost care and attention at operation the rate is 2-4% world wide. Many can be treated by simple drainage, but they all take a long time to dry up and heat Protein-calorie-vitamin mineral deficiency will occur if the subject does not exactly follow instructions regarding diet. Exercise and vitamin-mineral supplements post operatively nor report for their follow up checks. It may need hospital readmission and special in-hospital feeding techniques to correct the imbalance.