Enteral stents in the management of post–bariatric surgery leaks

Shehab, Hany

doi:10.1016/j.soard.2017.12.014

Cited by 14 publications

(15 citation statements)

References 42 publications

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“…The migration rate can range from 23% to 59%. 10,12 Migration requires repeated procedures for repositioning, and migration into the small bowel necessitates surgical intervention. Other common complications include nausea, vomiting, reflux, and discomfort, which may lead to intolerance.…”

Section: Stent Placementmentioning

confidence: 99%

“…Some examples include the MEGA stent (an ultra-sized fully covered stent; Taewoong Medical, Gimpo, Ko-rea), BETA stent (with two migration cuffs; Taewoong Medical), and GASTROSEAL stent (MITECH, Seoul, Korea). 12 The success rate of the MEGA stent was reported to be 82%. The migration rate was 18%, which is considerably lower than that of standard SEMSs.…”

Section: Stent Placementmentioning

confidence: 99%

“…This induces the collapse of the abscess cavity, leading to closure of the SLL. 12 The drain itself induces reepithelialization and guides the healing of the fistula. 23 The reported success rate ranges from 79% to 95% when coupled with enteral nutrition.…”

Section: Double-pigtail Stents Placementmentioning

confidence: 99%

“…23 The reported success rate ranges from 79% to 95% when coupled with enteral nutrition. 12,24 The mean time to heal was reported to be 55.5 days, with 2.95 procedures required per patient. 24 This method should be applied to SLLs with a fistula orifice < 10 mm and can be utilized with SEMSs in larger leaks.…”

Section: Double-pigtail Stents Placementmentioning

confidence: 99%

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Endoscopic Management of Staple Line Leak after Bariatric Surgery: Surgeon’s Perspective

Chung¹,

Park²,

Kim³

2021

Clin Endosc

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Laparoscopic sleeve gastrectomy (LSG) has become a standalone primary procedure as a bariatric metabolic surgery since the early 2000s. The overall complication rate of LSG is reported to range from 2% to 15%. Staple line leakage (SLL) remains a major adverse event and occurs in approximately 1%-6% of patients. Choosing the optimal treatment modality is a complex process. Clinicians must understand that nutritional support and drainage of fluid collection are essential for initial management. Conservative endoscopic management and sufficient drainage can resolve approximately 70% of SLLs. Endoscopic management of bariatric complications has been rapidly evolving in recent years and can be considered in all patients who are hemodynamically stable. We will review the available endoscopic management techniques, including stent placement (self-expanding stents and bariatric-specific stents), clipping, tissue sealant application, and internal drainage (double-pigtail stents [DPS] placement, endoscopic vacuum therapy, and septotomy). Stent placement remains the mainstream treatment for SLLs. However, healing with stents requires multiple sessions/stents and a long course of recovery. Endoscopic internal drainage is gaining popularity and has the potential to be a superior method. The importance of early intervention and combined endoscopic methods should be recognized. Clin Endosc 2021 May 12.

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Section: Stent Placementmentioning

confidence: 99%

Section: Stent Placementmentioning

confidence: 99%

Section: Double-pigtail Stents Placementmentioning

confidence: 99%

Section: Double-pigtail Stents Placementmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Management of Staple Line Leak after Bariatric Surgery: Surgeon’s Perspective

Chung¹,

Park²,

Kim³

2021

Clin Endosc

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“…Esta técnica permite el drenaje del contenido purulento a través de las prótesis y del espacio entre las prótesis. Previamente a la colocación de las prótesis puede realizarse lavado y desbridamiento mecánico introduciendo el endoscopio en el interior de la colección o ampliarse el orificio de fuga mediante la sección del tabique interpuesto entre el orificio de fuga y la luz gastrointestinal [28][29][30] .…”

Section: Fistulas Y Fugas Anastomóticasunclassified