Journals / Turkish Journal of Gastroenterology / 2022 / Cilt: 33 - Sayı: 1

Nonoperative Management of Leaks After Laparoscopic Sleeve Gastrectomy With Endoscopic Stents in a Tertiary Referral Center

Pages
8–18
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: LSG leaks can be treated nonoperatively in well-organized centers under meticulously designed protocols, depending on the clinical condition of the patient.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Laparoscopic sleeve gastrectomy (LSG) is a frequently performed operation.
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Key Findings & Data:Methods: We retrospectively reviewed the medical records of 15 patients referred to our tertiary center between 2012 and 2016 with leaks after LSG.
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Conclusion & Impact:Conclusion: LSG leaks can be treated nonoperatively in well-organized centers under meticulously designed protocols, depending on the clinical condition of the patient.
🔬Design:Review & Systematic Survey
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Özet

Background: Laparoscopic sleeve gastrectomy (LSG) is a frequently performed operation. Leaks are formidable complications; however, the optimal management of these leaks is controversial. Methods: We retrospectively reviewed the medical records of 15 patients referred to our tertiary center between 2012 and 2016 with leaks after LSG. Results: In 12 patients with whom ongoing leaks were identified, stents were inserted with the intent of definitive therapy. In addition to attempts at source control, percutaneous drainage was carried out for intraabdominal collection in 9 patients and pleural effusion in 4 patients. The length of stay in the intensive care unit was significantly shorter in patients referred earlier or in those without any intervention. Conclusion: LSG leaks can be treated nonoperatively in well-organized centers under meticulously designed protocols, depending on the clinical condition of the patient.

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Cite This Article

FIRAT, Ö., DEMİR, H. B., SEZEER, T. Ö., BOZKAYA, H., ÖZÜTEMİZ, Ö., ERSİN, S. (2022). Nonoperative Management of Leaks After Laparoscopic Sleeve Gastrectomy With Endoscopic Stents in a Tertiary Referral Center. Turkish Journal of Gastroenterology, Cilt: 33 - Sayı: 1, 8–18. https://ajindex.com/articles/411635

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References (13)

  1. Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric surgery worldwide 2013. Obes Surg. 2015
  2. 25(10):1822-1832. [CrossRef] 2. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014
  3. 8(8): CD003641. [CrossRef] 3. Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4888 patients. Surg Endosc. 2012
  4. 26(6):1509-1515. [CrossRef] 4. Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12 000 cases. Surg Obes Relat Dis. 2012
  5. 8(1):8-19. [CrossRef] 5. Gagner M, Hutchinson C, Rosenthal R. Fifth International Consensus Conference: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2016
  6. 12(4):750-756. [CrossRef] 6. Southwell T, Lim TH, Ogra R. Endoscopic therapy for treatment of staple line leaks post-laparoscopic sleeve gastrectomy (LSG): experience from a Large Bariatric Surgery Centre in New Zealand. Obes Surg. 2016
  7. 26(6):1155-1162. [CrossRef] 7. Donatelli G, Dumont JL, Cereatti F, et al. Treatment of leaks following sleeve gastrectomy by endoscopic internal drainage (EID). Obes Surg. 2015
  8. 25(7):1293-1301. [CrossRef] 8. Safadi BY, Shamseddine G, Elias E, Alami RS. Definitive surgical management of staple line leak after sleeve gastrectomy. Surg Obes Relat Dis. 2015
  9. 11(5):1037-1043. [CrossRef] 9. Moszkowicz D, Arienzo R, Khettab I, et al. Sleeve gastrectomy severe complications: is it always a reasonable surgical option? Obes Surg. 2013
  10. 23(5):676-686. [CrossRef] 10. Sasson M, Ahmad H, Dip F, Lo Menzo EL, Szomstein S, Rosenthal RJ. Comparison between major and minor surgical procedures for the treatment of chronic staple line disruption after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016
  11. 12(5):969- 975. [CrossRef] 11. Sakran N, Goitein D, Raziel A, et al. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2834 patients. Surg Endosc. 2013
  12. 27(1):240-245. [CrossRef] 12. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004
  13. 240(2):205-213. [CrossRef] 13. http://www.ics.ac.uk/ICS/guidelines-and-standards.aspx. 14. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsu