The use of over-the-scope clip in the treatment of persistent staple line leak after re-sleeve gastrectomy: Review of the literature

Zacharoulis, Dimitrios; Perivoliotis, Konstantinos; Sioka, Eleni; Zachari, Eleni; Kapsoritakis, Andreas; Manolakis, Anastassios C.; Tzovaras, George

doi:10.4103/jmas.jmas_245_16

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…As a result of the satisfactory results compared to the rest of the abovementioned procedures, the infiltration of laparoscopic sleeve gastrectomy among bariatric surgeons has increased over the past years [ 16 , 17 ]. Staple line leak [ 18 – 20 ] and haemorrhage [ 21 ], though two major and difficult-to-treat postoperative complications, have been extensively investigated in current literature, mainly due to the related morbidity and mortality rates.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

et al. 2018

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Introduction A meta-analysis was conducted in order to provide an up-to-date comparison of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) for morbid obesity. Materials and Methods The PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were used for the conduction of this study. A systematic literature search was performed in the electronic databases (MEDLINE, CENTRAL, and Web of Science and Scopus). The fixed effects or random effects model was used according to the Cochran Q test. Results Totally, 12 eligible studies were extracted. LSG displayed a statistically significant lower rate of overall complications (OR: 0.35; 95% CI: 0.17, 0.68; p=0.002) and a sustainable higher %EWL through all time endpoints (OR: 4.86, p=0.04; OR: 7.57, p < 0.00001; and OR: 13.74; p < 0.00001). There was no difference between the two techniques in terms of length of hospital stay (p=0.16), operative duration (p=0.81), reoperation rate (p=0.51), and cost (p=0.06). Conclusions LSG was demonstrated to have a lower overall complications and a higher weight loss rate, when compared to LGP. Further RCTs of a higher methodological quality level, with a larger sample size, are required in order to validate these findings.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

et al. 2018

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Endoscopic Management of Leak and Abscess Following Laparoscopic Sleeve Gastrectomy

Siddique

2021

Laparoscopic Sleeve Gastrectomy

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Management of gastric fistula complicating laparoscopic sleeve gastrectomy with biological glue in a combined percutaneous and endoscopic approach

Assalia

Ilivitzki

Ofer

et al. 2018

Surgery for Obesity and Related Diseases

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The use of over-the-scope clip in the treatment of persistent staple line leak after re-sleeve gastrectomy: Review of the literature

Abstract: Staple line leak after sleeve gastrectomy (SG) is a severe complication associated with increased mortality rates and the potential need for reoperation. We report the successful management of a re-SG staple line leak with the use of an endoscopic over-the-scope clip.

Cited by 3 publications

References 10 publications

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

Endoscopic Management of Leak and Abscess Following Laparoscopic Sleeve Gastrectomy

Management of gastric fistula complicating laparoscopic sleeve gastrectomy with biological glue in a combined percutaneous and endoscopic approach

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