Gastrointestinal Tract - Original Article

Nonoperative Management of Leaks After Laparoscopic Sleeve Gastrectomy With Endoscopic Stents in a Tertiary Referral Center

Volume 33 · Issue 1 Publish Date: January 15, 2022
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Özgür Fırat
Departments of General Surgery, Ege University School of Medicine, İzmir
Halit Batuhan Demir
Department of General Surgery, Ege University School of Medicine, İzmir, Turkey
Taylan Özgür Sezer
Department of General Surgery, Ege University School of Medicine, İzmir
Halil Bozkaya
Department of Radiology, Ege University School of Medicine, İzmir, Turkey
Ömer Özütemiz
Department of Gastroenterology, Ege University School of Medicine, İzmir, Turkey
Sinan Ersin
Ege Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim ve Bilim Dalları, EÜTF HPB Çalışma Grubu
Fırat, Özgür, Demir, H. B., Sezer, T. Özgür, Bozkaya, H., Özütemiz, Ömer, & Ersin, S. (2022). Nonoperative Management of Leaks After Laparoscopic Sleeve Gastrectomy With Endoscopic Stents in a Tertiary Referral Center. Turkish Journal of Gastroenterology, 33(1), 8–18. https://doi.org/10.5152/tjg.2021.19864
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Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) is a frequently performed operation. Leaks are formidable complications; however, the optimal management of these leaks is controversial. Methods: We retrospectively reviewed the medical records of 15 patients referred to our tertiary center between 2012 and 2016 with leaks after LSG. Results: In 12 patients with whom ongoing leaks were identified, stents were inserted with the intent of definitive therapy. In addition to attempts at source control, percutaneous drainage was carried out for intraabdominal collection in 9 patients and pleural effusion in 4 patients. The length of stay in the intensive care unit was significantly shorter in patients referred earlier or in those without any intervention. Conclusion: LSG leaks can be treated nonoperatively in well-organized centers under meticulously designed protocols, depending on the clinical condition of the patient.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 33 · Issue 1
Pages 8-18
History
Published Online January 15, 2022
Copyright
Affiliations
Özgür Fırat
Departments of General Surgery, Ege University School of Medicine, İzmir
Halit Batuhan Demir
Department of General Surgery, Ege University School of Medicine, İzmir, Turkey
Taylan Özgür Sezer
Department of General Surgery, Ege University School of Medicine, İzmir
Halil Bozkaya
Department of Radiology, Ege University School of Medicine, İzmir, Turkey
Ömer Özütemiz
Department of Gastroenterology, Ege University School of Medicine, İzmir, Turkey
Sinan Ersin
Ege Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim ve Bilim Dalları, EÜTF HPB Çalışma Grubu
Cite this Article
Fırat, Özgür, Demir, H. B., Sezer, T. Özgür, Bozkaya, H., Özütemiz, Ömer, & Ersin, S. (2022). Nonoperative Management of Leaks After Laparoscopic Sleeve Gastrectomy With Endoscopic Stents in a Tertiary Referral Center. Turkish Journal of Gastroenterology, 33(1), 8–18. https://doi.org/10.5152/tjg.2021.19864
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