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sleeve gastrectomy leak

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https://www.readbyqxmd.com/read/28527155/status-of-laparoscopic-sleeve-gastrectomy-in-china-a-national-survey
#1
Shibo Lin, Wei Guan, Pankaj Hans, Hui Liang
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is a favorable bariatric procedure. This study evaluated the status of LSG in China. METHODS: During the 4(th) International Forum of Bariatric and Metabolic Surgery in May 2016, Nanjing China, an on-the-spot questionnaire was filled out by 105 attending surgeons with experience of LSG. The feedback data was collected and analyzed. RESULTS: For preoperative preparations, surgeons preferred blood glucose control with insulin (61...
May 19, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28477245/systematic-review-and-meta-analysis-of-outcomes-after-revisional-bariatric-surgery-following-a-failed-adjustable-gastric-band
#2
Alistair J Sharples, Vasileios Charalampakis, Markos Daskalakis, Abd A Tahrani, Rishi Singhal
INTRODUCTION: Laparoscopic adjustable gastric band (LAGB)-related complications have been reported in significant numbers of patients often leading to band removal. Increasingly revisional bariatric surgery (RBS) is offered, most commonly either band to Roux-en-Y gastric bypass (B-RYGB) or band to sleeve gastrectomy (B-SG). OBJECTIVES: We conducted a systematic review and meta-analysis of studies to evaluate the efficacy of RBS following failed LAGB. METHODS: Medline, Embase, The Cochrane Library and NHS Evidence were searched for English language studies assessing patients who had undergone LAGB and who subsequently underwent either B-RYGB or B-SG...
May 6, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28474321/three-year-follow-up-of-laparoscopic-reduced-port-sleeve-gastrectomy-in-808-consecutive-patients
#3
Mohammad Al Jarallah, Radwan Kassir, Mohab El-Barbari, Shaaban Ali, Tarek Debs, Elie Chouillard
BACKGROUND: Sleeve gastrectomy (SG) is a very popular technique for the treatment of morbid obesity. Less and less invasive laparoscopic approaches to SG have been proposed and shown to be safe and feasible. OBJECTIVES: We developed a reduced port laparoscopic approach to sleeve gastrectomy (RLSG) with the aim to further optimize the advantages of laparoscopy. Preliminary and safety profile of RLSG as well as 3 years weight loss outcome are hereby discussed. SETTING: University Hospital, Kuwait...
May 4, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28460205/cyanoacrylate-sealant-compared-to-fibrin-glue-in-staple-line-reinforcement-during-laparoscopic-sleeve-gastrectomy-pilot-prospective-observational-study
#4
G Martines, R Digennaro, M De Fazio, P Capuano
Laparoscopic Sleeve Gastrectomy (LSG) is associated with serious complications, such as staple line leaks and bleeding. This paper presents a novel approach aimed at the successful consolidation of the suture by the use of the cyanoacrylate, here compared to the use of fibrin glue. Fifty consecutive patients, recruited from October 2015 to March 2016, were submitted to laparoscopic sleeve gastrectomy by standardized surgical technique. The staple line was reinforced with cyanoacrylate or fibrin glue. There were no post-operative complications and no operative time prolongation...
January 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28458855/esophagopericardial-fistula-an-unexpected-dreaded-complication-of-treatment-of-leak-following-revisional-sleeve-gastrectomy-by-endoscopic-internal-drainage
#5
Hugo Meunier, Benjamin Menahem, Andrea Mulliri, Audrey Fohlen, Nicolas Contival, Yannick Le Roux, Julien Desgue, Jean Lubrano, Arnaud Alves
Esophagopericardial fistula (EPF) is an uncommon but life-threatening complication of upper gastrointestinal tract surgery or endoscopy, which is related to anastomotic breakdown, chronic infection or esophageal traumatism. We first describe the first case of an EPF secondary to double pigtail drain migration: an endoscopic internal approach for the treatment of leak following revisional sleeve gastrectomy.
March 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28456510/high-acuity-sleeve-gastrectomy-patients-in-a-free-standing-ambulatory-surgical-center
#6
Peter Billing, Josiah Billing, Jedediah Kaufman, Kurt Stewart, Eric Harris, Rob Landerholm
BACKGROUND: Procedures performed in ambulatory surgical centers (ASC) can provide several advantages over hospital-based surgery. Understandably, concerns have been raised regarding "high acuity" cases in the ASC setting. Recently the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) presented protocols for ASCs to follow, requiring them to perform only "low acuity" cases to be compliant with accreditation. OBJECTIVE: Assess the safety and efficacy of outpatient sleeve gastrectomy (SG) on the "high acuity patient" in a free-standing ASC...
March 27, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28437221/the-effect-of-reinforcement-methods-with-knotted-and-knotless-sutures-comparison-of-burst-pressures
#7
Alper Yavuz, Hakan Buluş
Sleeve gastrectomy operations have become popular among restrictive obesity surgeons, due to its effectiveness for losing weight and acceptable complication rates. However, leakage is a significant problem in these operations. In this ex vivo study, we tried to understand mechanisms of leakage and to examine the effects of two different types of frequently referred reinforcement techniques using sutures. The resected gastric specimens that were removed during sleeve gastrectomy operations were used in this ex vivo study...
September 22, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28414699/etiology-of-leaks-following-sleeve-gastrectomy-current-evidence
#8
Abdulzahra Hussain, Peter Vasas, Katie Kirk, John Finney, Srinivasan Balchandra
PURPOSE: The purpose of this paper is to study the causes of leaks following sleeve gastrectomy (SG). MATERIALS AND METHODS: Pubmed was searched during January 2016 for publications reporting leak after SG. A total of 205 publications were identified, of which 17 papers were selected. RESULTS: In about 3018 patients, reinforcement was used compared with 4595 patients, in whom no reinforcement was applied; both groups were representing matched bariatric populations...
April 14, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28378080/cost-analysis-of-leak-after-sleeve-gastrectomy
#9
Marius Nedelcu, Thierry Manos, Michel Gagner, Imane Eddbali, Ahmed Ahmed, Patrick Noel
BACKGROUND: Leaks after laparoscopic sleeve gastrectomy (LSG) are serious complications of this procedure. The objective of the present study was to evaluate the costs of leaks after LSG. SETTING: Private hospital, France. METHODS: A retrospective analysis was conducted on a prospective cohort of 2012 cases of LSG between September 2005 and December 2014. Data were collected on all diagnostic and therapeutic measures necessary to manage leaks, ward, and intensive care unit (ICU) length of stay...
April 4, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28363345/advanced-laparoscopic-bariatric-surgery-is-safe-in-general-surgery-training
#10
John Kuckelman, Jason Bingham, Morgan Barron, Michael Lallemand, Matthew Martin, Vance Sohn
BACKGROUND: Bariatric surgery makes up an increasing percentage of general surgery training. The safety of resident involvement in these complex cases has been questioned. We evaluated patient outcomes in resident performed laparoscopic bariatric procedures. METHODS: Retrospective review of patients undergoing a laparoscopic bariatric procedure over seven years at a tertiary care single center. Procedures were primarily performed by a general surgery resident and proctored by an attending surgeon...
March 27, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28353180/efficacy-and-safety-of-the-over-the-scope-clip-otsc-system-in-the-management-of-leak-and-fistula-after-laparoscopic-sleeve-gastrectomy-a-systematic-review
#11
Saeed Shoar, Lauren Poliakin, Zhamak Khorgami, Rebecca Rubenstein, Moamena El-Matbouly, Jun L Levin, Alan A Saber
BACKGROUND: Endoscopic management of leaks/fistulas after laparoscopic sleeve gastrectomy (LSG) is gaining popularity in the bariatric surgery. OBJECTIVES: This study aimed to review the efficacy and safety of over-the-scope-clip (OTSC) system in endoscopic closure of post-LSG leak/fistula. METHODS: PubMed/Medline and major journals of the field were systematically reviewed for studies on endoscopic closure of post-LSG leaks/fistula by means of the OTSC system...
March 28, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28349296/roux-en-y-fistulojejunostomy-a-new-therapeutic-option-for-complicated-post-sleeve-gastric-fistulas-video-report
#12
Theodoros Thomopoulos, Maximilien Thoma, Benoit Navez
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become during the last few years the most frequent procedure in bariatric surgery. However, complications related to the gastric staple line can be even more serious. The incidence of gastric fistula after LSG varies from 1 to 7%. Its management can be very challenging and long. In case of chronic fistula and failure of the previous treatment, total gastrectomy or Roux-en-Y fistulo-jejunostomy (RYFJ) might be considered. RYFJ has been described very rarely as a salvage procedure of gastric leaks after LSG...
March 27, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28349295/endoscopic-drainage-of-intra-abdominal-collection-after-bariatric-surgery
#13
Gianfranco Donatelli, Renaud Chiche, Fabrizio Cereatti, Guillaume Pourcher, David Fuks, Bertrand Vergeau, Jean-Loup Dumont, Bruno Meduri
INTRODUCTION: Symptomatic intra-abdominal collection after bariatric surgery occurs in up to 5% of cases. Surgical, percutaneous, or endoscopic drainage are the feasible approaches. MATERIALS AND METHODS: In this video, we show the case report of a 50-year-old woman who underwent to gastric omega bypass on a previous sleeve gastrectomy. After 3 weeks, she presented a well-organized liquid collection just behind the longitudinal staple line of the gastric pouch...
March 27, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28330791/value-of-routine-upper-gastrointestinal-swallow-study-after-laparoscopic-sleeve-gastrectomy
#14
Cyril Chivot, Lionel Rebibo, Brice Robert, Abdennaceur Dhahri, Jean-Marc Regimbeau, Thierry Yzet
BACKGROUND: Gastric leak (GL) is one of the main early-onset postoperative complications of sleeve gastrectomy (SG). Many institutions perform routine upper gastrointestinal (UGI) contrast studies within 24 hours of surgery, looking for GL or gastric stenosis and to determine the need for urgent re-exploration, but this examination delays oral feeding, can cause side effects and is responsible for systematic and probably unnecessary irradiation of the patient. OBJECTIVE: Determine the efficacy of routine UGI contrast studies to predict postoperative complications after SG in a large population...
February 10, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28325503/is-a-retained-fundus-seen-on-postoperative-upper-gastrointestinal-series-after-laparoscopic-sleeve-gastrectomy-predictive-of-inferior-weight-loss
#15
Arsalan Salamat, Mohammad R Afrasiabi, Rami E Lutfi
BACKGROUND: Postoperative upper gastrointestinal series (UGI) has never been shown to be effective in ruling out leaks or obstruction after gastric bypass or sleeve gastrectomy. In sleeve gastrectomies, UGI will define the shape of the sleeve and rule out a retained fundus that was not optimally excised during surgery. OBJECTIVES: We aimed to investigate the impact of a "retained fundus" on weight loss to determine whether UGIs can be used to gauge success of the operation and predict outcome...
January 27, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28322488/surgical-glue-in-laparoscopic-sleeve-gastrectomy-an-initial-experience-and-cost-effectiveness-analysis
#16
Gregoire Mercier, Marcelo Loureiro, Vera Georgescu, El Mehdi Skalli, Marius Nedelcu, Mohamed Ramadan, Jean Michel Fabre, Patrick Lefebvre, David Nocca
RATIONALE, AIMS, AND OBJECTIVES: Laparoscopic sleeve gastrectomy (LSG) is one of the most common bariatric procedures. Gastric leaks and bleeding are the most frequent complications, associated with a high clinical and economic burden. The best method of staple line reinforcement in LSG is debated. Surgical glue is one of the options available. The aim of this study was to assess the safety, efficiency, and relative cost-effectiveness of surgical glue used to perform LSG in morbid obese adults as compared with standard stapling...
March 21, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28317694/sleeve-gastrectomy-leak-endoscopic-management-through-a%C3%A2-customized-long-bariatric-stent
#17
Lyz Bezerra Silva, Manoel Galvão Neto, João Caetano Marchesini, Eduardo S N Godoy, Josemberg Campos
No abstract text is available yet for this article.
April 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28271377/solid-organ-infections-rare-complications-after-laparoscopic-sleeve-gastrectomy-a-report-of-four-cases
#18
Mohammed Hamdy Abdelhady, Asaad Fayrouz Salama, Mohsen Karam, Moataz Bashah
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is a simple, low-cost procedure resulting in significant weight loss within a short period of time. LSG is a safe procedure with a low complication rate. The most significant complications are staple-line bleeding, stricture, and staple-line leak. Formation of liver and splenic abscesses is an extremely rare consequence of LSG. Liver abscess has been reported in one case report while splenic abscess has been reported in five case reports after LSG...
March 7, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28267074/endoscopic-closure-of-gastric-leak-following-sleeve-gastrectomy-in-a-pediatric-patient
#19
David M Troendle, Faisal Qureshi
No abstract text is available yet for this article.
March 6, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/28261497/integrated-approaches-for-the-management-of-staple-line-leaks-following-sleeve-gastrectomy
#20
Mauro Montuori, Domenico Benavoli, Stefano D'Ugo, Luca Di Benedetto, Emanuela Bianciardi, Achille L Gaspari, Paolo Gentileschi
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...
2017: Journal of Obesity
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