Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy

Endoscopic negative pressure therapy for upper gastrointestinal leaks: description of a fashioned device allowing simultaneous enteral feeding

“…9 The demonstrated OFD tool, with a diameter of 4 to 8 mm, makes it easier to establish ENPT for small defects and is optimal for intraluminal placement because of the reduced adhesiveness, easy removal, and decreased damage to the surrounding tissue. 2,5 The possibility of simultaneous enteral feeding is critical, especially when prolonged therapy is needed, given the need for adequate nutrition to promote healing in patients often afflicted with cancer or sepsis. Moreover, ENPT is not solely an inpatient treatment, given that it can be continued in the outpatient setting when sepsis is controlled.…”

“…OFD is applied for smaller wall defects and preferred for intraluminal placement. Characteristics of both methods have been discussed elsewhere in detail 2,6 (Table 1).…”

Bariatric endoscopy: current primary therapies and endoscopic management of complications and other related conditions

“…The procedure consists of the placement of a sponge drainage system into the perigastric cavity, which drains the content of the leak by applying negative pressure. This system can be placed intracavitary or within the stomach lumen at the entrance to the perigastric cavity [46,47] . Archid et al [46] reported 8 patients who developed a staple line leak following sleeve gastrectomy that were treated with EVT.…”

“…This system can be placed intracavitary or within the stomach lumen at the entrance to the perigastric cavity [46,47] . Archid et al [46] reported 8 patients who developed a staple line leak following sleeve gastrectomy that were treated with EVT. The leak resolved completely in seven of the eight cases, representing an 87.5% success rate.…”

Endoscopic therapeutic interventions for management of postoperative bariatric surgery complications

“…Continuous suction to the sponge via drainage tubes is applied and the entire sponge-pump system is replaced every 3-5 days to avoid ingrowth of granulation tissue [25]. Since its introduction in 2013 for the management of postbariatric leaks by Seyfried et al [26] multiple groups have reported good feasibility and high clinical success [25,[27][28][29][30]. For example, a case series by Leeds et al demonstrated a 89% (8/9 patients) clinical success rate of staple line leaks in post-LSG patients using EVT [31].…”