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Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature

PURPOSE: This review aims to explore and summarise current knowledge of indocyanine green (ICG) fluorescence application in metabolic and bariatric surgery (MBS) and assess its potential in improving patient safety. METHODS: The review was prepared according to the Preferred Reporting Items for Syst...

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Autores principales: Wityk, Mateusz, Dowgiałło-Gornowicz, Natalia, Feszak, Igor, Bobowicz, Maciej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10229673/
https://www.ncbi.nlm.nih.gov/pubmed/37249703
http://dx.doi.org/10.1007/s00423-023-02955-9
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author Wityk, Mateusz
Dowgiałło-Gornowicz, Natalia
Feszak, Igor
Bobowicz, Maciej
author_facet Wityk, Mateusz
Dowgiałło-Gornowicz, Natalia
Feszak, Igor
Bobowicz, Maciej
author_sort Wityk, Mateusz
collection PubMed
description PURPOSE: This review aims to explore and summarise current knowledge of indocyanine green (ICG) fluorescence application in metabolic and bariatric surgery (MBS) and assess its potential in improving patient safety. METHODS: The review was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Evidence from PubMed, ScienceDirect and Ovid MEDLINE databases was independently screened in October 2022. The primary information and outcomes were the type of fluorescence application with potential patient benefit and the complication rate. The secondary outcomes consisted of the kind of dye, the application protocol, and the equipment used. RESULTS: Thirteen publications were included, with six prospective observational studies, five case reports and two retrospective cohort studies and involved a total of 424 patients. The publications were categorized into four groups based on the method of fluorescence application. Sixty-six percent of the cases used fluorescence for LSG, 32.3% used it for RYGB, 1.2% for revisional surgery, 0.2% during removal of an adjustable gastric band, and 0.2% for LSG combined with Rossetti fundoplication. ICG was used on its own in the majority of studies, although in one case, it was used in combination with methylene blue. ICG administration protocols varied significantly. Complications occurred in three patients (0.71%): leaks were diagnosed in two cases, and one patient required a blood transfusion. CONCLUSION: The most popular type of use is intraoperative assessment of the blood supply. ICG application may reduce the risk of complications, with potential benefits in detecting ischemia and leaks, searching for bleeding in areas inaccessible to endoscopy, and non-invasive hepatopathy evaluation.
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spelling pubmed-102296732023-06-01 Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature Wityk, Mateusz Dowgiałło-Gornowicz, Natalia Feszak, Igor Bobowicz, Maciej Langenbecks Arch Surg Review PURPOSE: This review aims to explore and summarise current knowledge of indocyanine green (ICG) fluorescence application in metabolic and bariatric surgery (MBS) and assess its potential in improving patient safety. METHODS: The review was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Evidence from PubMed, ScienceDirect and Ovid MEDLINE databases was independently screened in October 2022. The primary information and outcomes were the type of fluorescence application with potential patient benefit and the complication rate. The secondary outcomes consisted of the kind of dye, the application protocol, and the equipment used. RESULTS: Thirteen publications were included, with six prospective observational studies, five case reports and two retrospective cohort studies and involved a total of 424 patients. The publications were categorized into four groups based on the method of fluorescence application. Sixty-six percent of the cases used fluorescence for LSG, 32.3% used it for RYGB, 1.2% for revisional surgery, 0.2% during removal of an adjustable gastric band, and 0.2% for LSG combined with Rossetti fundoplication. ICG was used on its own in the majority of studies, although in one case, it was used in combination with methylene blue. ICG administration protocols varied significantly. Complications occurred in three patients (0.71%): leaks were diagnosed in two cases, and one patient required a blood transfusion. CONCLUSION: The most popular type of use is intraoperative assessment of the blood supply. ICG application may reduce the risk of complications, with potential benefits in detecting ischemia and leaks, searching for bleeding in areas inaccessible to endoscopy, and non-invasive hepatopathy evaluation. Springer Berlin Heidelberg 2023-05-30 2023 /pmc/articles/PMC10229673/ /pubmed/37249703 http://dx.doi.org/10.1007/s00423-023-02955-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
Wityk, Mateusz
Dowgiałło-Gornowicz, Natalia
Feszak, Igor
Bobowicz, Maciej
Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
title Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
title_full Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
title_fullStr Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
title_full_unstemmed Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
title_short Fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
title_sort fluorescence use in minimally invasive metabolic and bariatric surgery — a systematic review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10229673/
https://www.ncbi.nlm.nih.gov/pubmed/37249703
http://dx.doi.org/10.1007/s00423-023-02955-9
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