Gastric Leak After Laparoscopic-Sleeve Gastrectomy for Obesity

Abstract

Different ways exist to manage gastric leak, depending on the magnitude of the collection and the clinical repercussions. When treatment necessitates reintervention and is performed early, suture repair is more likely to be successful. Leakage closure time will vary.

Avaliação da qualidade de vida tardia após gastroplastia vertical

“…Some disadvantages of Sleeve Gastroplasty are: short follow-up of patients undergoing this new surgical procedure; fistula, of difficult treatment; and irreversibility 14,15 . The surgical complications most commonly encountered are: fistula, which usually occurs at the angle Table 2 Table 2 Table 2 Table 2 Table 2 Table 3 Table 3 Table 3 Table 3 Table 3 Table 4 Table 4 Table 4 Table 4 Table 4 Distribution of patients according to the quality of life after treatment.…”

“…The surgical complications most commonly encountered are: fistula, which usually occurs at the angle Table 2 Table 2 Table 2 Table 2 Table 2 Table 3 Table 3 Table 3 Table 3 Table 3 Table 4 Table 4 Table 4 Table 4 Table 4 Distribution of patients according to the quality of life after treatment. of Hiss, is difficult to treat, with an incidence ranging from 0.7 to 5.3% 14,17 ; stenosis, especially in the angular notch, due to failure when preparing the gastric tube 27 ; portals infection; hernia; cholelithiasis 3.8% 15; gastroesophageal reflux disease 28,29 ; and dilatation of the gastric pouch after two years of operation and weight regain 15,28,30,31 . The reduction of the stomach promotes reduced food intake and reduced parietal cells, resulting in decreased production of hydrochloric acid, which is important in the absorption of iron.…”

Endoscopic stenting for laparoscopic sleeve gastrectomy leaks

“…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.…”

“…), or late (after 8 days p.o. ), and suturing of the leaks did not provide success in case series in either early or intermediate term (9,11).…”

“…Despite the technical simplicity of the procedure, staple-line leaks are life-threatening complications that occur in approximately 5% of LSG cases (8)(9)(10). Symptoms may be gradual or sudden.…”