Esophageal Stent in Sleeve Gastrectomy Leak Treatment: Observations Based on a Challenging Surgical Case and Literature
Gastric leak is a serious complication of sleeve gastrectomy with a well-documented morbidity and mortality. Depending on the series the leak rate ranges between 1 and 5%. The treatment of sleeve gastrectomy leak is still challenging. Different procedures have been described in management of gastric...
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| Veröffentlicht in: | Surgeries Jg. 2; H. 4; S. 378 - 383 |
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| Sprache: | Englisch |
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MDPI AG
01.12.2021
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| ISSN: | 2673-4095, 2673-4095 |
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| Abstract | Gastric leak is a serious complication of sleeve gastrectomy with a well-documented morbidity and mortality. Depending on the series the leak rate ranges between 1 and 5%. The treatment of sleeve gastrectomy leak is still challenging. Different procedures have been described in management of gastric leak, both surgical and endoscopic. The treatment of gastric leaks depends on the extent of the staple-line leak, the site of the leak and its association with stenosis. As published data are limited, there are no still standardized guidelines on best treatment. One of the most commonly used option in the treatment of gastric leak is esophageal stent. Its success rate reaches 70–80% but it is burdened by some complications. Stent migration is the most common complication in the placement of esophageal stent.We present a challenging surgical in which case the use of an esophageal stent for the treatment of a sleeve gastrectomy leak gained the resolution of the leak but was complicated by bowel obstruction due to migration of the stent. |
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| AbstractList | Gastric leak is a serious complication of sleeve gastrectomy with a well-documented morbidity and mortality. Depending on the series the leak rate ranges between 1 and 5%. The treatment of sleeve gastrectomy leak is still challenging. Different procedures have been described in management of gastric leak, both surgical and endoscopic. The treatment of gastric leaks depends on the extent of the staple-line leak, the site of the leak and its association with stenosis. As published data are limited, there are no still standardized guidelines on best treatment. One of the most commonly used option in the treatment of gastric leak is esophageal stent. Its success rate reaches 70–80% but it is burdened by some complications. Stent migration is the most common complication in the placement of esophageal stent.We present a challenging surgical in which case the use of an esophageal stent for the treatment of a sleeve gastrectomy leak gained the resolution of the leak but was complicated by bowel obstruction due to migration of the stent. |
| Author | Conti, Lorenzo Rausei, Stefano Cassinotti, Andrea Segato, Sergio Rizzi, Andrea Carrano, Francesco Maria Rota Bacchetta, Gian Luca Gianazza, Simone Frattini, Francesco Cortellezzi, Claudio Camillo |
| Author_xml | – sequence: 1 givenname: Francesco orcidid: 0000-0002-0601-1048 surname: Frattini fullname: Frattini, Francesco – sequence: 2 givenname: Andrea surname: Rizzi fullname: Rizzi, Andrea – sequence: 3 givenname: Sergio surname: Segato fullname: Segato, Sergio – sequence: 4 givenname: Claudio Camillo surname: Cortellezzi fullname: Cortellezzi, Claudio Camillo – sequence: 5 givenname: Gian Luca surname: Rota Bacchetta fullname: Rota Bacchetta, Gian Luca – sequence: 6 givenname: Andrea surname: Cassinotti fullname: Cassinotti, Andrea – sequence: 7 givenname: Simone surname: Gianazza fullname: Gianazza, Simone – sequence: 8 givenname: Lorenzo orcidid: 0000-0002-3561-9968 surname: Conti fullname: Conti, Lorenzo – sequence: 9 givenname: Francesco Maria orcidid: 0000-0003-1189-9907 surname: Carrano fullname: Carrano, Francesco Maria – sequence: 10 givenname: Stefano orcidid: 0000-0002-6676-2935 surname: Rausei fullname: Rausei, Stefano |
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| Title | Esophageal Stent in Sleeve Gastrectomy Leak Treatment: Observations Based on a Challenging Surgical Case and Literature |
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