Early Post-operative Complications: Incidence, Management, and Impact on Length of Hospital Stay. A Retrospective Comparison Between Laparoscopic Gastric Bypass and Sleeve Gastrectomy

Weiner, Rudolf A.; El-Sayes, Islam A.; Theodoridou, Sophia; Weiner, Sylvia; Scheffel, Oliver

doi:10.1007/s11695-013-1022-z

Cited by 56 publications

(16 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, despite its apparent reproducibility, there are significant variations in published series in both postoperative [7,8] and long-term complications; some authors even compare its complications to gastric bypass (GBP) and doubt whether SG has a lower risk [9]. Postoperative complications after SG have a major impact on hospital stay, increase costs, and endanger the patient's life [10,11]. Appropriate management of complications and identification of potentially modifiable risk factors (RFs) can reduce their impact and increase safety.…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors for Morbimortality in Sleeve Gastrectomy. The Importance of the Learning Curve. A Spanish-Portuguese Multicenter Study

Sánchez-Santos¹,

Codina

Vilallonga

et al. 2016

OBES SURG

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Prognostic Factors for Morbimortality in Sleeve Gastrectomy. The Importance of the Learning Curve. A Spanish-Portuguese Multicenter Study

Sánchez-Santos¹,

Codina

Vilallonga

et al. 2016

OBES SURG

View full text Add to dashboard Cite

show abstract

“…The overall incidence rate of early complications ranges around 5% [12,38]. Known risk factors for postoperative complications are high BMI and male gender due to the increased intra-abdominal fat mass.…”

Section: Resultsmentioning

confidence: 99%

Gastric Bypass: Current Results and Different Techniques

Vines¹,

Schiesser²

2014

Dig Surg

View full text Add to dashboard Cite

Obesity has been steadily increasing over the last three decades and is one of the leading causes of increased health costs due to its associated comorbidities. Unfortunately, conservative treatment including lifestyle changes did not achieve the desired results. Bariatric surgery, on the other hand, has emerged as an effective and safe treatment for obesity and its related comorbidities such as type 2 diabetes. Much time has passed since the first Roux-en-Y gastric bypass was performed in the 1960s, and the operation technique has since evolved. New variations such as the distal gastric bypass as well as the omega loop bypass have been developed. Today, the laparoscopic gastric bypass is still the most widely applied bariatric operation technique, followed by laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding. The refinement of the surgical technique and the introduction of laparoscopy have resulted in low perioperative morbidity and mortality after gastric bypass surgery. In this article, we will be discussing the history of gastric bypass surgery as well as presenting current data on excessive weight loss and resolution of comorbidities with a focus on diabetes. We will be looking into newer techniques such as omega loop bypass and their efficacy compared to the standard gastric bypass. Furthermore, we will be addressing the most important early and long-term complications, their diagnostic strategies as well as their management.

show abstract

“…The management of leakages in obese patients after LRYGB can be complex and technically demanding and results in significant morbidity with prolonged hospital stay in most cases [7]. Early detection and successful management of leakages are therefore crucial in order to achieve a beneficial outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical revision of anastomotic leakages is usually limited to local irrigation and drain placement due to the present inflammatory tissue, which does not allow a repair of the fistula. Alternatively, a renewal of the gastrojejunostomy may be performed [7]. However, with the development of modern endoscopic devices such as covered stents and over-the-scope clips (OTCs), new therapeutic options have become available, but experience with these devices is still limited [8,9,10,11].…”

Section: Introductionmentioning

confidence: 99%

Successful Endoscopic Management of Gastrointestinal Leakages after Laparoscopic Roux-en-Y Gastric Bypass Surgery

Schiesser¹,

Kressig²,

Bueter³

et al. 2014

Dig Surg

View full text Add to dashboard Cite

Background: Management of leakages of the gastrojejunal anastomosis after laparoscopic Roux-en-Y gastric bypass (LRYGB) can be complex. New endoscopic techniques such as covered stents and over-the-scope clips (OTCs) have been developed and are valuable alternative therapeutic options to reoperation and drainage. The aim of this study was to compare the value of stents and OTCs with surgical treatment options for the therapy of anastomotic leakages after LRYGB. Methods: Results of patients who were treated surgically with reoperation, local irrigation and drain placement (n = 9) were compared with results of patients who were treated endoscopically with stent and/or OTC placement (n = 5). Success rate, length of hospital stay, mortality, number of OTC applications/stent placement and percutaneous drainage placements were analyzed. Results: Overall, 14 of 1,046 patients (1.34%) developed a leakage of their gastrojejunal anastomosis after LRYGB between 2000 and 2012. While the success rate in surgically treated patients was 88%, the endoscopic treatment using a sequential approach with stenting, OTC application and percutaneous placement of drainages resulted in a 100% closure rate. The mortality rate and length of stay were not substantially different after both treatment regimens. Conclusion: Endoscopic management of anastomotic leakages after LRYGB may constitute a valuable alternative therapeutic option to surgical reoperation and drainage placement.

show abstract

Early Post-operative Complications: Incidence, Management, and Impact on Length of Hospital Stay. A Retrospective Comparison Between Laparoscopic Gastric Bypass and Sleeve Gastrectomy

Abstract: LSG was associated with more early complications. This may be attributed to higher BMI and predominance of males in LSG group.

Cited by 56 publications

References 51 publications

Prognostic Factors for Morbimortality in Sleeve Gastrectomy. The Importance of the Learning Curve. A Spanish-Portuguese Multicenter Study

Prognostic Factors for Morbimortality in Sleeve Gastrectomy. The Importance of the Learning Curve. A Spanish-Portuguese Multicenter Study

Gastric Bypass: Current Results and Different Techniques

Successful Endoscopic Management of Gastrointestinal Leakages after Laparoscopic Roux-en-Y Gastric Bypass Surgery

Contact Info

Product

Resources

About