Minimally invasive management of anastomotic leak after bariatric Roux-en-Y gastric bypass
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
MEDKNOW PUBLICATIONS & MEDIA PVT LTD
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
The aim of this retrospective study was to examine the anastomotic erosion due to drain and success of fibrin sealant in its management. Between 2013 and 2014, 102 patients underwent LRYGB and gastrojejunal anastomotic leak occurred due to drain erosion in 2 of them. The diagnosis was established with saliva drainage and was confirmed by upper gastrointestinal series. The absence of hemodynamic instability was directed us to conservative treatment. During the endoscopy, dehiscence was assessed and fibrin sealant was applied. The leaks healed progressively in a few days, and the drains removed within 6 days. Seven and 9 days later, the patients were discharged without any problem. Anastomotic leaks after bariatric surgery can cause severe morbidity, cost, and effects quality of life. Hemodynamically stable and drained patients are candidates for conservative methods. Endoscopic injection of fibrin sealant has been successful in closing gastric leaks.
Açıklama
Anahtar Kelimeler
Drain erosion, endoscopy, fibrin sealant, gastrojejunal leak, morbid obesity
Kaynak
JOURNAL OF MINIMAL ACCESS SURGERY
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
11
Sayı
2
