How to treat stenosis after sleeve gastrectomy?

Manos, Thierry; Nedelcu, Marius; Cotirlet, A.; Eddbali, Imane; Gautier, Michel; Noe͏̈l, Patrick

doi:10.1016/j.soard.2016.08.491

Cited by 53 publications

(45 citation statements)

References 32 publications

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“…Stricture and kinking may be avoided by keeping a safe distance between the incisura angularis and the edge where the staples are applied. In agreement with Manos et al , we believe that left-hand stapling offers the proper direction “to respect the incisura angularis ” [ 26 ]. During left-hand stapling, the device will be parallel with the lesser curvature and not perpendicular, as is the case when performing right-hand stapling.…”

Section: Staple-line Stenosis: Pathogenesis and Preventionsupporting

confidence: 91%

“…Sharp angulation or a spiral of the gastric sleeve could result from an incomplete gastric sleeve stenosis, or from other mechanisms such as asymmetrical lateral traction, with stapling leading to twisting of the gastric tube via a volvulus-like mechanism [ 25 - 27 ]. The site of stenosis is most often at the incisura angularis or gastroesophageal junction [ 26 , 28 ] ( Fig. 3 ).…”

Section: Staple-line Stenosis: Pathogenesis and Preventionmentioning

confidence: 99%

“…3 ). When a stenosis occurs, it is usually one of two types: a functional one (passage of the endoscope is possible but the sleeve is twisted with various degrees of rotation, requiring the scope to be passed through the gastric lumen—the so-called helix stenosis) or a mechanical one (when the passage of the endoscope is very difficult or impossible) [ 26 ]. Stricture and kinking may be avoided by keeping a safe distance between the incisura angularis and the edge where the staples are applied.…”

Section: Staple-line Stenosis: Pathogenesis and Preventionmentioning

confidence: 99%

“…During left-hand stapling, the device will be parallel with the lesser curvature and not perpendicular, as is the case when performing right-hand stapling. Keeping the staple line straight by resecting symmetrically anterior and posterior walls of the stomach represents the main factor for avoiding staple line twisting [ 26 ].…”

Section: Staple-line Stenosis: Pathogenesis and Preventionmentioning

confidence: 99%

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Complications of staple line and anastomoses following laparoscopic bariatric surgery

Silecchia¹,

Iossa²

2017

aog

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With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the number of procedures performed in all countries remains high. However, the risk of potentially complex or fatal complications, though small, is present and is related to the procedures per se. This review is a guide for bariatric and/or general surgeons, offering a complete overview of the pathogenesis of anastomosis and staple line following the most common laparoscopic bariatric procedures: sleeve gastrectomy, gastric bypass, and mini-gastric bypass. The review is divided according to the procedure and the complications (leak, bleeding and stenosis), and evaluates all the factors that can potentially improve or worsen the complication rate, representing a “unicum” in the present literature on bariatric surgery.

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Section: Staple-line Stenosis: Pathogenesis and Preventionsupporting

confidence: 91%

Section: Staple-line Stenosis: Pathogenesis and Preventionmentioning

confidence: 99%

Section: Staple-line Stenosis: Pathogenesis and Preventionmentioning

confidence: 99%

Section: Staple-line Stenosis: Pathogenesis and Preventionmentioning

confidence: 99%

See 2 more Smart Citations

Complications of staple line and anastomoses following laparoscopic bariatric surgery

Silecchia¹,

Iossa²

2017

aog

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“…En el caso de las estenosis post gVt, la tasa de éxito va desde 44% a 100% 71,72 y pueden ser manejadas con dilatación con balón o posicionamiento de stents. La tabla 3 67,[71][72][73][74][75][76][77][78][79] resume las series publicadas para el manejo de las estenosis post gVt y sus resultados.…”

Section: Dilatación Endoscópica Con Balón Y Stentsunclassified

Endoscopía luego de cirugía bariátrica: Lo que debe saber el endoscopista

Díaz¹,

Narvaez

Welsh

et al. 2020

Rev. méd. Chile

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Endoscopy after bariatric surgery: what the endoscopist must know Endoscopy is essential in the assessment and treatment of the bariatric patient, especially in the postoperative state. Since bariatric surgery is increasing exponentially, endoscopists should be familiar with the anatomy and how to manage possible complications. New less invasive therapeutic tools will have a major impact on the prognosis of these patients. Dreaded complications such as leaks, stenosis or weight regain can be successfully assessed and treated by endoscopy. Postoperative evaluation of symptoms requires the precise search of details that can change patient's management.

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Bariatrics

Needleman¹

2019

The SAGES Manual of Acute Care Surgery

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How to treat stenosis after sleeve gastrectomy?

Cited by 53 publications

References 32 publications

Complications of staple line and anastomoses following laparoscopic bariatric surgery

Complications of staple line and anastomoses following laparoscopic bariatric surgery

Endoscopía luego de cirugía bariátrica: Lo que debe saber el endoscopista

Bariatrics

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