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ISSN 1665-2576 (Print)

2016, Number 4

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Rev Mex Cir Endoscop 2016; 17 (4)

Gastric leak after laparoscopic sleeve gastrectomy. Classification, diagnosis and treatment

Márquez-González SM, Cerón-Rodríguez F

Language: Spanish
References: 18
Page: 191-195
PDF size: 216.57 Kb.


ABSTRACT

Introduction: Laparoscopic sleeve gastrectomy is a relatively simple and effective procedure for weight loss; nevertheless, it implies more serious and harder to treat complications when compared to a gastric bypass surgery; which includes gastric leak. Objective: Our purpose in this paper was to analyze the available literature on regards of bariatric surgery to establish simple and practical guidelines for the classification, diagnosis and treatment of gastric leak after a laparoscopic gastric sleeve. Material and methods: A PubMed search for medical articles using the keywords «gastric leak and sleeve gastrectomy» was carried out within the period from 2009 to 2016; a total of 245 papers was found; of them, only 18 complied with the criteria to be included in this study. Conclusion: This review is a simple and practical guide for the early diagnosis and proper management of gastric leak. The key to avoiding this dreaded complication is the careful and appropriate selection of patients, the experience of the surgeon, a gentle tissue dissection, a proper selection of the technique and surgical team, as well as avoiding medial or distal tubular stomach stenosis.


REFERENCES

  1. Knapps J, Ghanem M, Clements J, Merchant AM. A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy. JSLS. 2013; 17: 390-399.

  2. Rogula T, Khorgami Z, Bazan M, Mamolea C, Acquafresca P, El-Shazly O et al. Comparison of reinforcement techniques using suture on staple-line in sleeve gastrectomy. Obes Surg. 2015; 25: 2219-2224.

  3. Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg. 2013; 56: 347-352.

  4. Bekheit M, Katri KM, Nabil W, Sharaan MA, Said E, Kayal E. Earliest signs and management of leakage after bariatric surgeries: Single institute experience. Alexandria Journal of Medicine. 2013; 49: 29-33.

  5. Gill RS, Lai M, Birch DW, Karmali S. Sleeve gastrectomy: procedure, outcomes, and complications. Curr Obes Rep. 2012; 1: 75-79.

  6. Burgos AM, Braghetto I, Csendes A, Maluenda F, Korn O, Yarmuch J et al. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg. 2009; 19: 1672-1677.

  7. Csendes A, Braghetto I, León P, Burgos AM. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010; 14: 1343-1348.

  8. Abou-Rached A, Basile M, El Masri H. Gastric leaks post sleeve gastrectomy: review of its prevention and management. World J Gastroenterol. 2014; 20: 13904-13910.

  9. Chivot C, Robert B, Lafaye N, Fuks D, Dhahri A, Verhaeghe P et al. Laparoscopic sleeve gastrectomy: imaging of normal anatomic features and postoperative gastrointestinal complications. Diagn Interv Imaging. 2013; 94: 823-834.

  10. Moon RC, Shah N, Teixeira AF, Jawad MA. Management of staple line leaks following sleeve gastrectomy. Surg Obes Relat Dis. 2015; 11: 54-59.

  11. Soto FC, Chen A, Gorsuch J, Graf E, Podkameni D. Sleeve gastrectomy leaks: the way we treat it. Adv Obes Weight Manag Control. 2015: 2: 1-3.

  12. Casella G, Soricelli E, Rizzello M, Trentino P, Fiocca F, Fantini A et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009; 19: 821-826.

  13. Márquez MF, Ayza MF, Lozano RB, Morales M del M, Díez JM, Poujoulet RB. Gastric leak after laparoscopic sleeve gastrectomy. Obes Surg. 2010; 20: 1306-1311.

  14. Moszkowicz D, Arienzo R, Khettab I, Rahmi G, Zinzindohoué F, Berger A et al. Sleeve gastrectomy severe complications: is it always a reasonable surgical option? Obes Surg. 2013; 23: 676-686.

  15. Jurowich C, Thalheimer A, Seyfried F, Fein M, Bender G, Germer CT et al. Gastric leakage after sleeve gastrectomy-clinical presentation and therapeutic options. Langenbecks Arch Surg. 2011; 396: 981-987.

  16. Tan JT, Kariyawasam S, Wijeratne T, Chandraratna HS. Diagnosis and management of gastric leaks after laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2010; 20: 403-409.

  17. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013; 41: 580-637.

  18. Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012; 26: 1509-1515.




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