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Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy
- Source :
- Obesity Surgery. 30:1310-1315
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Management of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks. Eight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed. During the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 ± 8.6 days of EVT, 3.3 ± 2.2 endoscopies, and 19 ± 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%). EVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.
- Subjects :
- medicine.medical_specialty
Sleeve gastrectomy
Nutrition and Dietetics
business.industry
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
Outcome measures
Anastomotic Leak
030209 endocrinology & metabolism
Obesity, Morbid
Surgery
03 medical and health sciences
0302 clinical medicine
Gastrectomy
Surgical Stapling
Staple line
medicine
Humans
Treatment strategy
Laparoscopy
030211 gastroenterology & hepatology
business
Endoscopic treatment
Negative-Pressure Wound Therapy
Subjects
Details
- ISSN :
- 17080428 and 09608923
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Obesity Surgery
- Accession number :
- edsair.doi.dedup.....1638bda94e685b787e79d5430b094910