Ultrasound Guided Trans-Gluteal Approach for Percutaneous Collection Drainage: Why, Who and How?

Abstract

established. Method(s): Retrospective review of all post sleeve gastrectomy leak collection CT guided percutaneous drainage from February 2011-September 2018 done in our institution. our institution is well known center of excellent for post sleeve gastrectomy leak management. Result(s): 53 patients underwent CT guided percutaneous drainage for post sleeve gastrectomy leak collection (23 females and 30 males; average 33.8 range 18-65). All procedures were done using CT guidance and Seldinger technique. Drains size range from 10-14 Fr. Technical and clinical success was 100 %. 1 patient had bleeding complication that was treated by embolization. 10 patients need drain change or adjustment. No patient underwent surgery for collection management. indwelling drain time average of 70 days. All patient underwent endoluminal stent placement. Conclusion(s): CT guided percutaneous drainage of post sleeve gastrectomy leak is safe and effective treatment.