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Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy

Introduction. Aim of the study was trying to draw a final flow chart for the management of gastric leaks after laparoscopic sleeve gastrectomy, based on the review of our cases over 10 years' experience. Material and Methods. We retrospectively reviewed all patients who underwent LSG as a prima...

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Autores principales: Montuori, Mauro, Benavoli, Domenico, D'Ugo, Stefano, Di Benedetto, Luca, Bianciardi, Emanuela, Gaspari, Achille L., Gentileschi, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312046/
https://www.ncbi.nlm.nih.gov/pubmed/28261497
http://dx.doi.org/10.1155/2017/4703236
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author Montuori, Mauro
Benavoli, Domenico
D'Ugo, Stefano
Di Benedetto, Luca
Bianciardi, Emanuela
Gaspari, Achille L.
Gentileschi, Paolo
author_facet Montuori, Mauro
Benavoli, Domenico
D'Ugo, Stefano
Di Benedetto, Luca
Bianciardi, Emanuela
Gaspari, Achille L.
Gentileschi, Paolo
author_sort Montuori, Mauro
collection PubMed
description Introduction. Aim of the study was trying to draw a final flow chart for the management of gastric leaks after laparoscopic sleeve gastrectomy, based on the review of our cases over 10 years' experience. Material and Methods. We retrospectively reviewed all patients who underwent LSG as a primary operation at the Bariatric Unit of Tor Vergata University Hospital in Rome from 2007 to 2015. Results. Patients included in the study were 418. There were 6 staple line leaks (1.44%). All patients with diagnosis of a leak were initially discharged home in good clinical conditions and then returned to A&E because of the complication. The mean interval between surgery and readmission for leak was 13,4 days (range 6–34 days, SD ± 11.85). We recorded one death (16.67%) due to sepsis. The remaining five cases were successfully treated with a mean healing time of the gastric leak of 55,5 days (range 26–83 days; SD ± 25.44). Conclusion. Choosing the proper treatment depends on clinical stability and on the presence or not of collected abscess. Our treatment protocol showed being associated with low complication rate and minor discomfort to the patients, reducing the need for more invasive procedures.
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spelling pubmed-53120462017-03-05 Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy Montuori, Mauro Benavoli, Domenico D'Ugo, Stefano Di Benedetto, Luca Bianciardi, Emanuela Gaspari, Achille L. Gentileschi, Paolo J Obes Clinical Study Introduction. Aim of the study was trying to draw a final flow chart for the management of gastric leaks after laparoscopic sleeve gastrectomy, based on the review of our cases over 10 years' experience. Material and Methods. We retrospectively reviewed all patients who underwent LSG as a primary operation at the Bariatric Unit of Tor Vergata University Hospital in Rome from 2007 to 2015. Results. Patients included in the study were 418. There were 6 staple line leaks (1.44%). All patients with diagnosis of a leak were initially discharged home in good clinical conditions and then returned to A&E because of the complication. The mean interval between surgery and readmission for leak was 13,4 days (range 6–34 days, SD ± 11.85). We recorded one death (16.67%) due to sepsis. The remaining five cases were successfully treated with a mean healing time of the gastric leak of 55,5 days (range 26–83 days; SD ± 25.44). Conclusion. Choosing the proper treatment depends on clinical stability and on the presence or not of collected abscess. Our treatment protocol showed being associated with low complication rate and minor discomfort to the patients, reducing the need for more invasive procedures. Hindawi Publishing Corporation 2017 2017-02-02 /pmc/articles/PMC5312046/ /pubmed/28261497 http://dx.doi.org/10.1155/2017/4703236 Text en Copyright © 2017 Mauro Montuori et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Montuori, Mauro
Benavoli, Domenico
D'Ugo, Stefano
Di Benedetto, Luca
Bianciardi, Emanuela
Gaspari, Achille L.
Gentileschi, Paolo
Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy
title Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy
title_full Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy
title_fullStr Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy
title_full_unstemmed Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy
title_short Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy
title_sort integrated approaches for the management of staple line leaks following sleeve gastrectomy
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312046/
https://www.ncbi.nlm.nih.gov/pubmed/28261497
http://dx.doi.org/10.1155/2017/4703236
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