Management and prevention of Leakage after Sleeve Gastrectomy

Diab, Ahmed Hazem; Kaseer, Mohamed Hasan El

doi:10.21608/aimj.2020.40898.1314

Cited by 1 publication

(3 citation statements)

References 30 publications

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“…Surgeons need dependable methods to deal with GSLL as its management is challenging and selecting the best treatment is a complex process. Recent years have seen a rapid advancement in the ES which aids with the healing of the leak by simultaneously draining perivisceral collections and reducing local inflammation and tissue damage (9,(17)(18)(19)(20)(21)(22) .…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Hughes et al (23) reported the GEJ as the most common location of GSLL in their series, in line with Sakran et al (20) informed GSLL near GEJ in 75% of patients. This preferential site of GSLL was explained by decreased blood supply of that part of stomach due to damage of blood vessels during LSG or because of increased intragastric pressure due to conservations of pyloric (19) . Southwell and collaborators (10) published that the majority of GSLL occurred at GEJ junction (71%) with less in midgastric (21%) and distal (8%).…”

Section: Discussionmentioning

confidence: 99%

“…The results of our work are quite different to Kiriakopoulos and collaborative (7) as they published that non-stenting management of GSLL after LSG is possible with better outcomes than ES regarding the period of hospital say and leak control. However, Diab et al (19) concluded that most cases of GSLL after LSG could be successfully managed by ES. Similarly, Chung and collaborators (22) published ES remains the mainstream management for GSLLs.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Gastric Staple Line Leaks After Laparoscopic Sleeve Gastrectomy, Endoscopic Stent Insertion Versus Surgical Intervention Treatment

Baz¹,

Mohamed²,

Ezzat³

2023

The Egyptian Journal of Hospital Medicine

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Background: Endoscopic stenting (ES) provides comfortable management of Gastric staple line leaks (GSLL); it is less invasive than conventional surgery. Objective: The aim of the current study is to assess the efficacy of endoscopic stenting versus surgical intervention in treating gastric stable line leakage following laparoscopic sleeve gastrectomy (LSG). Patients and methods: In Helwan University Hospitals, 40 patients had GSLL post LSG between January 2018 and August 2022. We proceeded our management to either: ES placement (Group A) or surgical management (SM) (Group B), 2o in each group. Results: Regarding postoperative complications, there is a significant statistical difference regarding wound infection, but no significant difference regarding chest infection, DVT, subphrenic abscess, severe vomiting, GERD, failure of Roux-en-Y, stent migration, or stricture. There is a non-significant association between the type of participant management and the outcomes of the intervention. However, there was a statistically significant association between the type of participant management and the interval period between GSLL closure and its control (P value <0.001) and patients' hospital stay (P= 0.001), as participants who underwent ES spent less time in the hospital. Conclusion: Management of post-LSG leakage with ES is advocated as it is a minimally invasive technique that effectively manages GSLL and has a comparable control success rate to definitive surgical treatment with a shorter hospital stay, early return of function, fewer complications, and a well-tolerable safety profile. In stable patients, ES should be recommended as first-line therapy.

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