2012
DOI: 10.1007/s00464-012-2426-x
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Abstract: Gastric leak is the most common cause of major morbidity and mortality after LSG. Routine tests to rule out leaks seem to be superfluous. Rather, selective utilization is recommended. Management options vary, depending mainly on patient disposition. An accepted algorithm for the diagnosis and treatment of gastric leak has yet to be proposed.

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Cited by 367 publications
(247 citation statements)
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References 41 publications
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“…Unidentified staple line leak may lead to abdominal sepsis, which could lead to the development of a gastric fistula, multisystem organ failure, or death. 15,16 However, the necessity of routine UGI con trast studies has been questioned and remains a point of controversy. A recent metaanalysis by Quartararo and col leagues 16 evaluated the results of routine and selective post operative UGI series after RYGB to assess its utility and costeffectiveness.…”
Section: Discussionmentioning
confidence: 99%
“…Unidentified staple line leak may lead to abdominal sepsis, which could lead to the development of a gastric fistula, multisystem organ failure, or death. 15,16 However, the necessity of routine UGI con trast studies has been questioned and remains a point of controversy. A recent metaanalysis by Quartararo and col leagues 16 evaluated the results of routine and selective post operative UGI series after RYGB to assess its utility and costeffectiveness.…”
Section: Discussionmentioning
confidence: 99%
“…Leakage development after LSG is an important cause of morbidity and mortality [23]. Patients with BMI> 50, use of a dilator with a diameter less than 40F, and revision surgery were defined as independent risk factors for development of leakage [24,25].…”
Section: Discussionmentioning
confidence: 99%
“…[4] Prompt diagnosis and aggressive treatment are essential to minimize chronic gastric fistula, multiple organ failure and related mortality rates. [5] Computed tomography is not only useful in the dignosis but also is may be useful treatment with drainage. The conservative approach can be done in the context of computerized tomography (CT) drainage, broad-spectrum antibiotics, total parenteral nutrition (TPN).…”
Section: Introductionmentioning
confidence: 99%