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Complications of staple line and anastomoses following laparoscopic bariatric surgery
With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759613/ https://www.ncbi.nlm.nih.gov/pubmed/29333067 http://dx.doi.org/10.20524/aog.2017.0201 |
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author | Silecchia, Gianfranco Iossa, Angelo |
author_facet | Silecchia, Gianfranco Iossa, Angelo |
author_sort | Silecchia, Gianfranco |
collection | PubMed |
description | With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the number of procedures performed in all countries remains high. However, the risk of potentially complex or fatal complications, though small, is present and is related to the procedures per se. This review is a guide for bariatric and/or general surgeons, offering a complete overview of the pathogenesis of anastomosis and staple line following the most common laparoscopic bariatric procedures: sleeve gastrectomy, gastric bypass, and mini-gastric bypass. The review is divided according to the procedure and the complications (leak, bleeding and stenosis), and evaluates all the factors that can potentially improve or worsen the complication rate, representing a “unicum” in the present literature on bariatric surgery. |
format | Online Article Text |
id | pubmed-5759613 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-57596132018-01-12 Complications of staple line and anastomoses following laparoscopic bariatric surgery Silecchia, Gianfranco Iossa, Angelo Ann Gastroenterol Invited Review With over 600 million people being obese, and given the scientific demonstration of the advantages of surgical treatment, bariatric surgery is on the rise. The promising long-term results in terms of weight loss, and particularly in relation to comorbidities and the control/cure rate, mean that the number of procedures performed in all countries remains high. However, the risk of potentially complex or fatal complications, though small, is present and is related to the procedures per se. This review is a guide for bariatric and/or general surgeons, offering a complete overview of the pathogenesis of anastomosis and staple line following the most common laparoscopic bariatric procedures: sleeve gastrectomy, gastric bypass, and mini-gastric bypass. The review is divided according to the procedure and the complications (leak, bleeding and stenosis), and evaluates all the factors that can potentially improve or worsen the complication rate, representing a “unicum” in the present literature on bariatric surgery. Hellenic Society of Gastroenterology 2018 2017-10-12 /pmc/articles/PMC5759613/ /pubmed/29333067 http://dx.doi.org/10.20524/aog.2017.0201 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Invited Review Silecchia, Gianfranco Iossa, Angelo Complications of staple line and anastomoses following laparoscopic bariatric surgery |
title | Complications of staple line and anastomoses following laparoscopic bariatric surgery |
title_full | Complications of staple line and anastomoses following laparoscopic bariatric surgery |
title_fullStr | Complications of staple line and anastomoses following laparoscopic bariatric surgery |
title_full_unstemmed | Complications of staple line and anastomoses following laparoscopic bariatric surgery |
title_short | Complications of staple line and anastomoses following laparoscopic bariatric surgery |
title_sort | complications of staple line and anastomoses following laparoscopic bariatric surgery |
topic | Invited Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759613/ https://www.ncbi.nlm.nih.gov/pubmed/29333067 http://dx.doi.org/10.20524/aog.2017.0201 |
work_keys_str_mv | AT silecchiagianfranco complicationsofstaplelineandanastomosesfollowinglaparoscopicbariatricsurgery AT iossaangelo complicationsofstaplelineandanastomosesfollowinglaparoscopicbariatricsurgery |