Treatment of staple line leaks after laparoscopic sleeve gastrectomy with self-expandable metalic stents

Basit Öğe Kaydı
dc.contributor.authorEce, İ.
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorAlptekin, Hüsnü
dc.contributor.authorAcar, Fahrettin
dc.contributor.authorYormaz, S.
dc.contributor.authorÇolak, B.
dc.contributor.authorŞahin, Mustafa
dc.date.accessioned2020-03-26T19:31:54Z
dc.date.available2020-03-26T19:31:54Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure on weight loss and obesity-related comorbidities. The most important complication of LSG is the staple line leaks (SLL). This study aims to report the SLL rate and its management with self-expandable stent in a series of 422 LSGs. Material and Methods: A total of 422 patients underwent LSG from January 2010 to June 2015. A retrospective study was performed to the patients who were diagnosed as staple line leak at department of obesity surgery of a university hospital. The gastric resection was started from the antrum with a distance of 4-6 cm to the pilorus, by a 60mm staples. A 36F bougie was used to calibrate the gastric tube. The staple line was routinely reinforced with running sutures. The patients who developed SLL were treated endoscopically with self-expandable metalic stent (SEMS) placement. Results: The mean age of patients were 41.8 (29-55) years, and female/male ratio was 7/5. Mean body mass index of 44.1 kg/m2 in patients, one of the cases has a gastric banding history. SLL rate was 12/422 (2.8%). Leak area was near the gastroesophageal junction in all cases. SLL was treated with self-expandable metalic stents. All patients were received medical support, including parenteral nutrition and antibiotics. The stent treatment modalities were successful in all cases. Conclusion: SLL was the most common complication of LSG accounting for half of the overall complications. Self-expandable stents combined with antibiotics and parenteral nutrition are effective for SLL and should be proposed as first-line treatment in stable patients. © 2016 by Türkiye Klinikleri.en_US
dc.identifier.doi10.5336/medsci.2015-48722en_US
dc.identifier.endpage97en_US
dc.identifier.issn1300-0292en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage92en_US
dc.identifier.urihttps://dx.doi.org/10.5336/medsci.2015-48722
dc.identifier.urihttps://hdl.handle.net/20.500.12395/34233
dc.identifier.volume36en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkiye Klinikleri Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAnastomotic leaken_US
dc.subjectLaparoscopyen_US
dc.subjectMorbiden_US
dc.subjectObesityen_US
dc.subjectStentsen_US
dc.titleTreatment of staple line leaks after laparoscopic sleeve gastrectomy with self-expandable metalic stentsen_US
dc.title.alternativeLaparoskopik sleeve gastrektomi sonrası stapler hattı kaçaklarının genişleyebilen metalik stentler ile tedavisi
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu