Nightmare of a surgeon; “stapler missfire during sleeve gastrectomy” due to swallowed orogastric tube intraoperatively: A case report

Obesity is at the top of the list of chronic diseases a pandemic disease in the world as the second cause of preventable deaths. Bariatric and methabolic surgery is one of the main interests in general surgery. There-fore, obesity surgery is one of the most made surgeries in the world. There is a trend for sleeve gastrectomy that is as the most applied and accepted technique in bariatric surgery compared to other bariatric surgery techniques. A 25-year-old male patient with BMI: 45.7 operated for sleeve gastrectomy. Intraoperatively, the 4th 60 mm Ethicon Echelon blue cartige with the guidance of 40 F bugie was applied (fired) in standard fashion. The operation, we were doing it in a systematic way that we used in previous operations. However, after stapler discarded, it was observed that there was a foreign body “shinning” in the stapler line. Although the surgery is always done systematically, it can happen when it does not always go well. After this surprising situation during this straigtforward surgery, we began to investigate what was wrong? and how this happened? How to move in developing decide to manage a complications can be the savior of every surgeon. In this article, we aimed to present our case and the management of the catastrophobic event.