The Utility of Contrast Studies and Drains in the Management of Patients after Roux-en-Y Gastric Bypass

Serafini, Francesco; Anderson, Wayne; Ghassemi, Poopak; Poklepovic, Jerry; Murr, Michel M.

doi:10.1381/096089202321144559

Cited by 75 publications

(37 citation statements)

References 4 publications

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“…Many surgeons have reported the rate of anastomotic leaks of less than 1% [7] while some reported higher rates [6,15,16]. Though according to some researchers, surgical site infections comprises up to 20% of all healthcare-associated infections.…”

Section: Discussionmentioning

confidence: 99%

“…The small volume of the effluent is easily evacuated by the surgical drains, avoiding the need for operative intervention to control the leak [6].…”

Section: Discussionmentioning

confidence: 99%

“…We adopted this practice for the obese patients undergoing bariatric surgery leading to perceived reduction in length of hospital stay and patients' well-being. After all, the most important outcome of treating obesity is improvement in health conditions [6].…”

Section: Discussionmentioning

confidence: 99%

“…Bariatric surgeons are concerned about delay in diagnosis of anastomotic leaks which may lead to serious consequences. The uncontrolled leaks may lead to sepsis that require operative interventions [6].…”

Section: Introductionmentioning

confidence: 99%

“…Drains may also minimize the chance of morbidity due to anastomotic leaks after bariatric surgery [6].…”

Section: Introductionmentioning

confidence: 99%

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Reducing Surgical Site Infection by Placing Subcutaneous Drain in the Obese Patients

Arian

Roozegar

2017

Journal of Diseases

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Article HistoryIn this study the effect of placing subcutaneous drain in the incision site of obese patients undergoing bariatric surgery, on the rate of incision site infection was evaluated. 200 obese patients of both sexes included in the study on the basis of the inclusion and exclusion criteria. They were divided into two groups on the basis of their accessibility. For patients belonging to group II (study cases), subcutaneous drain was placed at the incision site. Follow up of the patients shows subcutaneous drain placed at the incision site reduces the rate of infection up to 2% which is significantly lower than the infection rate among patients for whom drain was not placed (P<.05). In spite of emphasis to use sutures, drains and foreign bodies only with adequate indications to avoid surgical site infection and based on the merits of employing drain in evacuating the collected material to prevent infection, we recommend the use of subcutaneous drains in obese patients as incision infection may lead to longer hospitalization or readmission. As higher treatment expenditures and higher mortality rate are the consequences of infection, every effort to reduce the consequences rates following bariatric surgery in obese patients is valuable and advisable.

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Section: Discussionmentioning

confidence: 99%

“…The small volume of the effluent is easily evacuated by the surgical drains, avoiding the need for operative intervention to control the leak [6].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Drains may also minimize the chance of morbidity due to anastomotic leaks after bariatric surgery [6].…”

Section: Introductionmentioning

confidence: 99%

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Reducing Surgical Site Infection by Placing Subcutaneous Drain in the Obese Patients

Arian

Roozegar

2017

Journal of Diseases

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Morbidity of Anastomotic Leaks in Patients Undergoing Roux-en-Y Gastric Bypass

Almahmeed¹

2007

Arch Surg

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To document the effect of anastomotic leaks on morbidity and mortality after Roux-en-Y gastric bypass (RYGB) for obesity. Design: Prospectively collected data on 840 consecutive patients who underwent RYGB between 1998 and 2005. Multivariate logistic regression analysis was used to determine the effect of anastomotic leaks on postoperative morbidity independent of sex, age, preoperative body mass index, access (open vs laparoscopic), calendar year of RYGB, and comorbidities. P Ͻ.05 was considered significant. Results: A total of 36 patients (4.3%) developed leaks after RYGB. Patients who developed anastomotic leaks had a significantly higher overall complication rate (61% vs 20%, PϽ.001), mortality (14% vs 4%, P=.01), and duration of hospital stay (24.5 vs 4.5 days, P Ͻ.001) compared with patients who did not develop leaks. In a mul

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