Anastomotic leak test using indocyanine green during laparoscopic Roux-en-Y gastric bypass: A cohort study.
Anastomotic fistula
Gastro-jejunal leak
Indocyanine green test
Laparoscopic Roux-en-Y Gastric Bypass
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
31
08
2022
revised:
24
10
2022
accepted:
12
11
2022
entrez:
20
12
2022
pubmed:
21
12
2022
medline:
21
12
2022
Statut:
epublish
Résumé
Indocyanine green (ICG) can be injected into the human bloodstream and it allows us to show stomach vascularity in real time. The aim of our study is to observe the preliminary results of the application of indocyanine green fluorescence (IGF) during laparoscopic Roux-en-Y Gastric Bypass (RYGB in our center and how the perfusion of the gastro-jejunal anastomosis affects the onset of fistula. 30 consecutive patients underwent RYGB with ICG fluorescence angiography at our center from January 2020 to December 2021.5 ml of ICG were then injected intravenously to identify the blood supply of the stomach and the gastro-jejunal anastomosis. The UIN for ClinicalTrial.gov Protocol Registration and Results System is: NCT05476159 for the Organization UFoggia. In the RYGB tested with ICG, we all have adequate perfusion but despite this a methylene blue test was positive and allowed us to reinforce the suture of the gastro-jejunal anastomosis. Intraoperative ICG testing during laparoscopic RYGB may be helpful in determining which patients are at an increased risk for leakage but multiple factors concur to the pathophysiology and the incidence of gastric fistula not only the perfusion.
Sections du résumé
Background
UNASSIGNED
Indocyanine green (ICG) can be injected into the human bloodstream and it allows us to show stomach vascularity in real time. The aim of our study is to observe the preliminary results of the application of indocyanine green fluorescence (IGF) during laparoscopic Roux-en-Y Gastric Bypass (RYGB in our center and how the perfusion of the gastro-jejunal anastomosis affects the onset of fistula.
Materials and methods
UNASSIGNED
30 consecutive patients underwent RYGB with ICG fluorescence angiography at our center from January 2020 to December 2021.5 ml of ICG were then injected intravenously to identify the blood supply of the stomach and the gastro-jejunal anastomosis. The UIN for ClinicalTrial.gov Protocol Registration and Results System is: NCT05476159 for the Organization UFoggia.
Results
UNASSIGNED
In the RYGB tested with ICG, we all have adequate perfusion but despite this a methylene blue test was positive and allowed us to reinforce the suture of the gastro-jejunal anastomosis.
Conclusion
UNASSIGNED
Intraoperative ICG testing during laparoscopic RYGB may be helpful in determining which patients are at an increased risk for leakage but multiple factors concur to the pathophysiology and the incidence of gastric fistula not only the perfusion.
Identifiants
pubmed: 36536736
doi: 10.1016/j.amsu.2022.104939
pii: S2049-0801(22)01699-5
pmc: PMC9758372
doi:
Banques de données
ClinicalTrials.gov
['NCT05476159']
Types de publication
Journal Article
Langues
eng
Pagination
104939Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
GIOVANNA PAVONE, ALBERTO FERSINI, MARIO PACILLI, PASQUALE CIANCI, ANTONIO AMBROSI, NICOLA TARTAGLIA. declare no conflict of interests.
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