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Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy
Obesity is a major public health issue with various comorbidities. Sleeve gastrectomy has become a popular treatment for obesity, but it carries the risk of complications, particularly staple line leakage. This case study focused on a 32-year-old woman with grade II obesity and hiatal hernia who und...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10447076/ https://www.ncbi.nlm.nih.gov/pubmed/37621955 http://dx.doi.org/10.1093/jscr/rjad479 |
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author | Ortiz Gómez, Jesús Elías Toledo Barranco, Mario Medina Aguirre, Willberto Guzmán Barba, José Aldo Esparza Estrada, Isaac Ruiz Cota, Patricia Orozco Álvarez Malo, José Oscar |
author_facet | Ortiz Gómez, Jesús Elías Toledo Barranco, Mario Medina Aguirre, Willberto Guzmán Barba, José Aldo Esparza Estrada, Isaac Ruiz Cota, Patricia Orozco Álvarez Malo, José Oscar |
author_sort | Ortiz Gómez, Jesús Elías |
collection | PubMed |
description | Obesity is a major public health issue with various comorbidities. Sleeve gastrectomy has become a popular treatment for obesity, but it carries the risk of complications, particularly staple line leakage. This case study focused on a 32-year-old woman with grade II obesity and hiatal hernia who underwent laparoscopic sleeve gastrectomy. Four days after surgery, she presented with abdominal pain, revealing leakage from the gastric sleeve into the thoracic cavity. Diagnostic procedures and interventions were performed, including cavity lavage, drainage placement, and stent placement. The patient showed clinical improvement after video-assisted thoracoscopic surgery and a multidisciplinary approach involving nutrition support and antibiotics. Despite the challenges, the patient’s clinical course improved, leading to discharge with no evidence of leakage on follow-up endoscopy. Careful monitoring and timely interventions are essential to manage complications in sleeve gastrectomy procedures and ensure optimal patient outcomes. |
format | Online Article Text |
id | pubmed-10447076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-104470762023-08-24 Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy Ortiz Gómez, Jesús Elías Toledo Barranco, Mario Medina Aguirre, Willberto Guzmán Barba, José Aldo Esparza Estrada, Isaac Ruiz Cota, Patricia Orozco Álvarez Malo, José Oscar J Surg Case Rep Case Report Obesity is a major public health issue with various comorbidities. Sleeve gastrectomy has become a popular treatment for obesity, but it carries the risk of complications, particularly staple line leakage. This case study focused on a 32-year-old woman with grade II obesity and hiatal hernia who underwent laparoscopic sleeve gastrectomy. Four days after surgery, she presented with abdominal pain, revealing leakage from the gastric sleeve into the thoracic cavity. Diagnostic procedures and interventions were performed, including cavity lavage, drainage placement, and stent placement. The patient showed clinical improvement after video-assisted thoracoscopic surgery and a multidisciplinary approach involving nutrition support and antibiotics. Despite the challenges, the patient’s clinical course improved, leading to discharge with no evidence of leakage on follow-up endoscopy. Careful monitoring and timely interventions are essential to manage complications in sleeve gastrectomy procedures and ensure optimal patient outcomes. Oxford University Press 2023-08-23 /pmc/articles/PMC10447076/ /pubmed/37621955 http://dx.doi.org/10.1093/jscr/rjad479 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Ortiz Gómez, Jesús Elías Toledo Barranco, Mario Medina Aguirre, Willberto Guzmán Barba, José Aldo Esparza Estrada, Isaac Ruiz Cota, Patricia Orozco Álvarez Malo, José Oscar Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
title | Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
title_full | Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
title_fullStr | Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
title_full_unstemmed | Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
title_short | Management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
title_sort | management of gastropleural leak by video-assisted thoracoscopy after sleeve gastrectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10447076/ https://www.ncbi.nlm.nih.gov/pubmed/37621955 http://dx.doi.org/10.1093/jscr/rjad479 |
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