Use of cardiac septal occluder device on upper GI anastomotic dehiscences: a new endoscopic approach (with video)

Cardoso, Elisabete; Silva, Rui Almeida; Moreira‐Dias, Luís

doi:10.1016/j.gie.2012.07.041

Cited by 7 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sparse case reports have also identified the success of ventricular or atrial septal occluder or vascular plug use in different types of gastrointestinal leaks and fistulas with similar mechanism of action 387,397–421…”

Section: Endoscopic Management Of Chronic and Late Leaksmentioning

confidence: 99%

A Comprehensive Review of Endoscopic Management of Sleeve Gastrectomy Leaks

Gjeorgjievski¹,

Imam

Cappell

et al. 2020

Journal of Clinical Gastroenterology

View full text Add to dashboard Cite

Background: Bariatric surgery leaks result in significant morbidity and mortality. Experts report variable therapeutic approaches, without uniform guidelines or consensus.Objective: To review the pathogenesis, risk factors, prevention, and treatment of gastric sleeve leaks, with a focus on endoscopic approaches. In addition, the efficacy and success rates of different treatment modalities are assessed.Design: A comprehensive review was conducted using a thorough literature search of 5 online electronic databases (PubMed, PubMed Central, Cochrane, EMBASE, and Web of Science) from the time of their inception through March 2020. Studies evaluating gastric sleeve leaks were included. MeSH terms related to "endoscopic," "leak," "sleeve," "gastrectomy," "anastomotic," and "bariatric" were applied to a highly sensitive search strategy. The main outcomes were epidemiology, pathophysiology, diagnosis, treatment, and outcomes.Results: Literature search yielded 2418 studies of which 438 were incorporated into the review. Shock and peritonitis necessitate early surgical intervention for leaks. Endoscopic therapies in acute and early leaks involve modalities with a focus on one of: (i) defect closure, (ii) wall diversion, or (iii) wall exclusion. Surgical revision is required if endoscopic therapies fail to control leaks after 6 months. Chronic leaks require one or more endoscopic, radiologic, or surgical approaches for fluid collection drainage to facilitate adequate healing. Success rates depend on provider and center expertise. Conclusion:Endoscopic management of leaks post sleeve gastrectomy is a minimally invasive and effective alternative to surgery. Their effect may vary based on clinical presentation, timing or leak morphology, and should be tailored to the appropriate endoscopic modality of treatment.

show abstract

Section: Endoscopic Management Of Chronic and Late Leaksmentioning

confidence: 99%

A Comprehensive Review of Endoscopic Management of Sleeve Gastrectomy Leaks

Gjeorgjievski¹,

Imam

Cappell

et al. 2020

Journal of Clinical Gastroenterology

View full text Add to dashboard Cite

show abstract

“…Several reports have described gastric leakage closure using a cardiac septal occluder. [47][48][49] A cardiac septal occluder is a selfexpandable double-umbrella-shaped polyester-covered nitinol wire mesh. A delivery catheter is inserted over a guidewire placed through the leakage, then the guidewire is removed and the deployment catheter (preloaded with the cardiac septal occluder) is inserted through the delivery catheter.…”

Section: Other Techniquesmentioning

confidence: 99%

Endoscopic management of postoperative upper gastrointestinal leakage

Ahn

2022

Int J Gastrointest Interv

View full text Add to dashboard Cite

Anastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of anastomotic leakage varies according to the time of diagnosis and the severity of the leakage; therefore, some cases can be managed conservatively, while others require urgent exploration. Despite aggressive medical and/ or surgical management, some patients develop sepsis with multiple organ failure, leading to death. Hence, the management of anastomotic leakage imposes a significant burden on hospital resources. Due to the poor success rate of conservative therapy, anastomotic leakage management is usually performed surgically, which is associated with high morbidity and mortality. Given these concerns, non-operative treatment by endoscopic management, which uses sealants, hemoclips, self-expandable metal stents, and vacuum-assisted sponge closure, may be a valid alternative modality. According to recent studies, the results of endoscopic management for postoperative leakage have improved due to developments in instruments. Therefore, endoscopic management can be considered as an appropriate treatment option for properly selected patients with postoperative leakage.

show abstract

“…Despite these measures, the defect failed to close, resulting in recurrent chest infections and a persistently discharging sinus at the back of the right chest. We decided to proceed with fistula closure with an atrial septal occluder device [3,4]. Following general anesthesia, the patient was positioned in the left lateral position.…”

mentioning

confidence: 99%

Use of atrial septal occluder in the treatment of chronic fistula following post-esophagectomy anastomotic leak

Kariyawasam,

Yap,

Tan

et al. 2023

Endoscopy

View full text Add to dashboard Cite

Use of cardiac septal occluder device on upper GI anastomotic dehiscences: a new endoscopic approach (with video)

Cited by 7 publications

References 12 publications

A Comprehensive Review of Endoscopic Management of Sleeve Gastrectomy Leaks

A Comprehensive Review of Endoscopic Management of Sleeve Gastrectomy Leaks

Endoscopic management of postoperative upper gastrointestinal leakage

Use of atrial septal occluder in the treatment of chronic fistula following post-esophagectomy anastomotic leak

Contact Info

Product

Resources

About