The evolution of surgical treatment for chronic leak following sleeve.
Bypass
Chronic
Leak
Reconstructive surgery
Sleeve gastrectomy
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
01
06
2020
revised:
15
09
2020
accepted:
02
10
2020
pubmed:
22
11
2020
medline:
25
5
2021
entrez:
21
11
2020
Statut:
ppublish
Résumé
Leak is estimated to be the most severe complication of laparoscopic sleeve gastrectomy (LSG), with sporadic failure of endoscopic techniques. In such cases, an aggressive management with surgical reconstructive procedures can be proposed to patients in whom all the conservative endoscopic techniques failed. The purpose of the present study was to report our experience with surgical approach for the treatment of chronic leak after LSG. University hospital, France. Between January 2013-December 2019, 21 consecutive patients underwent reconstructive surgery for the treatment of chronic leak after LSG. The initial intervention, the endoscopic approach, and the definitive surgical repair were carefully reviewed. Twenty-one patients (17 women) with a mean (standard deviation [SD]) age of 42.7 years (9.81) and a mean (SD) body mass index (BMI) of 27.3 (5.2) kg/m Surgery should be considered in case of failure of the endoscopic treatment of chronic leak after LSG. Further research is needed to clearly identify the appropriate treatment, but in our experience the fistulo-jejunostomy approach shows a low morbidity rate. (Surg Obes Relat Dis 2020;17:278-283.) © 2020 American Society for Metabolic and Bariatric Surgery. All rights reserved.
Sections du résumé
BACKGROUND
BACKGROUND
Leak is estimated to be the most severe complication of laparoscopic sleeve gastrectomy (LSG), with sporadic failure of endoscopic techniques. In such cases, an aggressive management with surgical reconstructive procedures can be proposed to patients in whom all the conservative endoscopic techniques failed.
OBJECTIVES
OBJECTIVE
The purpose of the present study was to report our experience with surgical approach for the treatment of chronic leak after LSG.
SETTING
METHODS
University hospital, France.
METHODS
METHODS
Between January 2013-December 2019, 21 consecutive patients underwent reconstructive surgery for the treatment of chronic leak after LSG. The initial intervention, the endoscopic approach, and the definitive surgical repair were carefully reviewed.
RESULTS
RESULTS
Twenty-one patients (17 women) with a mean (standard deviation [SD]) age of 42.7 years (9.81) and a mean (SD) body mass index (BMI) of 27.3 (5.2) kg/m
CONCLUSIONS
CONCLUSIONS
Surgery should be considered in case of failure of the endoscopic treatment of chronic leak after LSG. Further research is needed to clearly identify the appropriate treatment, but in our experience the fistulo-jejunostomy approach shows a low morbidity rate. (Surg Obes Relat Dis 2020;17:278-283.) © 2020 American Society for Metabolic and Bariatric Surgery. All rights reserved.
Identifiants
pubmed: 33218903
pii: S1550-7289(20)30598-0
doi: 10.1016/j.soard.2020.10.008
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
278-283Informations de copyright
Copyright © 2020. Published by Elsevier Inc.