The Effect of Different Staple Sizes on Leak Pressure Among Patients Undergoing Sleeve Gastrectomy: a Pilot Study

Hajeychia, Ihav; Avital, Shmuel; Tyomkin, Vitaly; Goldberg, Nitzan; Inbar, Roye

doi:10.1007/s11695-023-06491-9

Cited by 1 publication

(2 citation statements)

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“…Hajeychia et al conducted a prospective ex vivo study evaluating leak pressures of different staple sizes (black endo GIA with a closing range of 1.75-2.25 mm, purple endo GIA with a closing range of 1.25-1.75 mm and tan/vascular endo GIA with a closing range of 0.75-1.25 mm) in the extracted portion of the stomach of 15 patients [28]. The black load was used to staple the distal and middle portion of the sleeve, and the purple load was used for the proximal part near the angle of His.…”

Section: Staple Sizementioning

confidence: 99%

“…No leaks occurred in the black staple line. When comparing the tan/vascular staple line to the purple staple line, it was noted that the first had a higher leak pressure of 28.9 ± 1.06 mmHg compared to the purple staple line, which had a pressure of 14.9 + 1.28 mmHg [28]. Prospective clinical trials are recommended to further evaluate the effect of staple size on leak rate.…”

Section: Staple Sizementioning

confidence: 99%

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The Art of Sleeve Gastrectomy

Tish,

Corcelles

2024

JCM

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Sleeve gastrectomy (SG) has historically evolved from gastroplasty and anti-reflux procedures into one of the most commonly performed primary metabolic surgeries in the United States and worldwide. Initially initiated in the 1980s as part of the duodenal switch procedure, its standalone effectiveness and simplicity have led to increasing popularity globally. The rise in obesity rates transcends age boundaries, alarmingly affecting not only adults but also the younger demographic. This escalating trend is concerning, as it predisposes these populations to numerous future health complications, as well as highlighting the critical necessity for a safe and potent weight loss strategy. Although sleeve gastrectomy carries a higher risk for gastroesophageal reflux disease (GERD) compared to other bariatric procedures, it stands out as a reliable, safe and effective surgical solution for obesity. It is particularly beneficial for adolescents and patients with complex medical comorbidities, including, but not limited to, heart failure and immunocompromisation. It has also served as a bridge for transplants in morbidly obese patients with end-stage heart, liver and kidney disease due to its favorable safety profile.

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Section: Staple Sizementioning

confidence: 99%

Section: Staple Sizementioning

confidence: 99%