Complex Endoscopic Treatment of Staple Line Failure in Bariatric Surgery

Abstract

he authors set a goal to improve the results of treatment in patients with staple line failure after bariatric surgery using various endoscopic techniques. Based on four clinical cases an algorithm for the sequence of actions was created. The authors used vacuum aspiration, stent placement, as well as sealing the organ defect with bioglue. In all four cases, it was possible to successfully cope with the staple line failure and prevent the progression of peritonitis. As a result of the study, the authors conclude that several endoscopic treatments can be considered in tandem or in combination. The treatment of this category of patients should be interdisciplinary and include an adequate timing.

Using Vacuum-Aspiration System for the Treatment of Git Suture Leakage in Bariatric Surgery

“…The treatment strategy for a patient with incompetent sutures of the upper digestive tract simultaneously solves several problems: sanitation of the stagnation cavity and drainage of the mediastinum, providing nutritional support, closing the perforation, prevention and treatment of purulent complications. Lately, endoscopic vacuum therapy has been used to ensure adequate sanitation and drainage of the purulent cavity [11][12][13].…”