Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients

Sakran, Nasser; Goitein, David; Raziel, Asnat; Keidar, Andrei; Beglaibter, Nahum; Grinbaum, Ronit; Matter, Ibrahim; Alfici, Ricardo; Mahajna, Ahmad; Waksman, Igor; Shimonov, Mordechai; Assalia, Ahmad

doi:10.1007/s00464-012-2426-x

Cited by 381 publications

(260 citation statements)

References 41 publications

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“…Unidentified staple line leak may lead to abdominal sepsis, which could lead to the development of a gastric fistula, multisystem organ failure, or death. 15,16 However, the necessity of routine UGI con trast studies has been questioned and remains a point of controversy. A recent metaanalysis by Quartararo and col leagues 16 evaluated the results of routine and selective post operative UGI series after RYGB to assess its utility and costeffectiveness.…”

Section: Discussionmentioning

confidence: 99%

The usefulness and costs of routine contrast studies after laparoscopic sleeve gastrectomy for detecting staple line leaks

Terterov

Leung

Twells

et al. 2017

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Section: Discussionmentioning

confidence: 99%

The usefulness and costs of routine contrast studies after laparoscopic sleeve gastrectomy for detecting staple line leaks

Terterov

Leung

Twells

et al. 2017

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“…Leakage development after LSG is an important cause of morbidity and mortality [23]. Patients with BMI> 50, use of a dilator with a diameter less than 40F, and revision surgery were defined as independent risk factors for development of leakage [24,25].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy versus endoscopical intra-gastric balloon placement: early results of morbidly obese patients

Çaycı

Erdoğdu

2017

Archives of Clinical and Experimental Medicine

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Atıf yazım şekli:How to cite:Cayci HM, Erdogdu U. Laparoscopic sleeve gastrectomy versus endoscopic intra-gastric balloon placement: Early results of morbidly obese patients. Arch Clin Exp Med. 2017;2(2):35-38.Abstract Aim: Endoscopic intra-gastric balloon (IGB) placement and laparoscopic sleeve gastrectomy (LSG) are widely used treatment modalities for weight loss in patients with morbid obesity. The aim of our study was to evaluate the results of these two methods in patients with morbid obesity. Methods: The data of 119 patients who were treated during the same time period for morbid obesity (Body Mass Index (BMI) ≥40 kg/m2) and completed a 12-month follow-up period were evaluated retrospectively. The study comprised twenty patients who underwent IGB placement and 99 LSG patients. Patients from these two groups were compared according to their demographic data; rate of comorbidity; weight and BMI changes both preoperatively and postoperatively at the 12 months; excess weight loss (EWL); and excess BMI loss (EBL ) nedeniyle aynı dönemde tedavi edilen ve 12 aylık takip dönemini tamamlayan 119 hastanın verileri retrospektif olarak değerlendirildi. Çalışmada İGB uygulanan 20 hasta ve LSG yapılan 99 hasta yer aldı. Hastaların demografik verileri, yandaş hastalık, preoperatif ve postoperatif 12. ayda kilo ve VKİ verileri, verilen fazla kilo ve yüzdeleri, verilen fazla VKİ ve yüzdeleri kaydedilip gruplar karşılaştırıldı. Bulgular: LSG ve İGB grupları arasında preoperatif kilo açısından istatiksel anlamlı farklılık olduğu görüldü (sırasıyla 124,3 ± 17 ve 145,5 ± 24,7; p<0,001). Postoperatif 12. ayda ölçülen kilo değerlendirildiğinde İGB grubunda ortalama 119,2 ±28,5 kg ve LSG grubunda 78,9 ± 12,9 kg saptandı (p<0,001). İGB grubundaki hastaların 12.ay sonunda ortalama 26,3 ±12,8 kg kilo verdiği, LSG grubundaki hastalarında 45,35 ±12,2 kg kilo verdiği görüldü (p<0,001). Postoperatif 12. ayda saptanan verilen fazla kilo yüzdesi İGB grubunda 33,42 ±9,2%, LSG grubunda 67,68 ±14,9% saptandı (p‹0,001). Postoperatif 12.ayda saptanan verilen fazla VKİ yüzdesi açısından İGB grubunda 41 ±17,3%, LSG grubunda 81,48 ±18,8% saptandı (p<0,001). Sonuç: Morbid obes hastalarda endoskopik İGB uygulaması cerrahiye uygun olmayan veya cerrahi tedaviyi tercih etmeyen hastalarda etkin ve güvenli bir tedavi seçeneği olarak tercih edilebilir. Anahtar kelimeler: Morbid obezite, laparoskopik sleeve gastrektomi, intragastik balon

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“…[4] Prompt diagnosis and aggressive treatment are essential to minimize chronic gastric fistula, multiple organ failure and related mortality rates. [5] Computed tomography is not only useful in the dignosis but also is may be useful treatment with drainage. The conservative approach can be done in the context of computerized tomography (CT) drainage, broad-spectrum antibiotics, total parenteral nutrition (TPN).…”

Section: Introductionmentioning

confidence: 99%

Conservative management of leakage after laparoscopic sleeve gastrectomy

Ertuğrul¹

2018

Laparosc Endosc Surg Sci

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Laparoscopic sleeve gastrectomy (LSG) is a common surgical procedure for the treatment of morbid obesity. Severe complications may result with significant morbidity and mortality. Staple-line leakage is a rare, but important, complication. Here we present the case of a patient with staple-line leakage after LSG who was treated conservatively. The patient was a 36-year-old female with a body mass index of 43. LSG was performed. The postoperative course was uneventful and the patient was discharged on postoperative day 3. She presented with fever and back pain on postoperative day 5. An intermediate, type 2 staple-line leak was confirmed with computed tomography (CT). The patient was treated conservatively. The patient was well 1 year after the initial treatment and a follow-up CT confirmed complete resolution. Leakage and related morbidity and mortality after LSG may be a challenge for the patient and the surgeon. Early diagnosis and aggressive treatment is essential to overcome potential serious consequences. In some selected patients, a conservative approach with close observation may help to manage leakage after LSG.

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Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients

Cited by 381 publications

References 41 publications

The usefulness and costs of routine contrast studies after laparoscopic sleeve gastrectomy for detecting staple line leaks

The usefulness and costs of routine contrast studies after laparoscopic sleeve gastrectomy for detecting staple line leaks

Laparoscopic sleeve gastrectomy versus endoscopical intra-gastric balloon placement: early results of morbidly obese patients

Conservative management of leakage after laparoscopic sleeve gastrectomy

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