Diagnosis and Management of Gastric Leaks After Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Tan, Jeremy; Kariyawasam, Sanjeeva; Wijeratne, Tissa; Chandraratna, Harsha

doi:10.1007/s11695-009-0020-7

Cited by 158 publications

(80 citation statements)

References 9 publications

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“…The most important complications related to stomach residue are hemorrhage, narrowness in the tubular stomach, and gastric leakage. Notwithstanding that the rates of occurring leakages are variable, it is reported as 0.7-20% [4]. The probability of a leakage amongst operations performed at our clinic is determined about 2.8%.…”

Section: Discussionmentioning

confidence: 80%

Treatment Methods for Leakage Occurring at Staple Line After Laparoscopic Sleeve Gastrectomy

Erol¹,

Aydın²,

Uğurlu³

et al. 2015

J Curr Surg

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In this presentation, medical literature regarding this topic was reviewed along with the evaluation of treatment methods used in two specific cases during which leakages occurred along the staple line after laparoscopic sleeve gastrectomy (LSG). One of the two patients who developed a leakage after LSG was a 26-year-old female (case 1) and the other was a 20-year-old female (case 2). Case 1 was explored, when a leakage was diagnosed through clinical and screening procedures on day 3 after the surgery. After determining the leakage, the defect was primarily sutured and a feeding jejunostomy was placed. Case 1 developed leakage again on the fourth day after the second surgery, an esophagogastric stent was performed three times whose drainage was cut off from the leakage line, and the patient was discharged with full recovery. However, case 2 then developed leakage on the 14th day after surgery. Next an esophagogastric stent was placed in the patient, and a computer tomography (CT)-guided percutaneous drainage was placed to drain the collections inside the abdomen. Four weeks after this procedure, the stent was removed and after specifying that the leakage had closed, the patient was discharged with full recovery. The treatment methods of gastric leakages after LSG are also variable, and the treatment method is designated depending on the dimension of the leakage, the extent of the abdominal contamination, and the location of the leakage.

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Section: Discussionmentioning

confidence: 80%

Treatment Methods for Leakage Occurring at Staple Line After Laparoscopic Sleeve Gastrectomy

Erol¹,

Aydın²,

Uğurlu³

et al. 2015

J Curr Surg

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show abstract

“…Covered self-expandable metallic stents have gained popularity in the management of leaks with variable results (5)(6)(7)(8)(9)(10)12). In our study, we obtained complete closure of the leaks by using variable length SECS.…”

Section: Discussionmentioning

confidence: 86%

Endoscopic stenting for laparoscopic sleeve gastrectomy leaks

Aydın

Alahdab

Aras

et al. 2016

UCD

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“…This surgical technique aims to decrease operation risks for super-obese or high-risk patients; however, it has been validated as a stand-alone bariatric surgery nowadays [79]. Furthermore, LSG has gained increasing popularity with both bariatric surgeons and patients, mainly due to its relative operative ease and lower risk profile [80]. In conclusion, LSG seems to have a substantial beneficial influence on T2DM, producing resolution in the majority of patients included in the studies.…”

Section: Resultsmentioning

confidence: 95%

Resolving of diabetes mellitus post laparoscopic sleeve gastrectomy

Arrowaili¹

2017

IJMDC

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The prevalence of type 2 diabetes mellitus (T2DM) is increasing globally with obesity as a risk factor for T2DM. Non-surgical and surgical methods are used to treat morbid obesity. Laparoscopic Sleeve Gastrectomy (LSG) is being recognized as an effective independent procedure for treating morbidly obese patients with T2DM by removing the gastric fundus and transforming the stomach into a narrow gastric tube. This paper discusses effects of LSG in T2DM resolution and remission, and its short-term and long-term influence on obese patients with T2DM with making comparison with other types of surgeries to resolve T2DM. LSG seems to have a substantial beneficial influence on T2DM, producing resolution in the majority of patients included in the studies. LSG has gained popularity for its relative operative ease and lower risk profile.

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Diagnosis and Management of Gastric Leaks After Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Cited by 158 publications

References 9 publications

Treatment Methods for Leakage Occurring at Staple Line After Laparoscopic Sleeve Gastrectomy

Treatment Methods for Leakage Occurring at Staple Line After Laparoscopic Sleeve Gastrectomy

Endoscopic stenting for laparoscopic sleeve gastrectomy leaks

Resolving of diabetes mellitus post laparoscopic sleeve gastrectomy

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