Read by QxMD icon Read

sleeve gastrectomy fistula

Andrea Tringali, Vincenzo Bove, Vincenzo Perri, Rosario Landi, Pietro Familiari, Ivo Boškoski, Guido Costamagna
Background and study aim: Leakage of the surgical suture is the main complication of laparoscopic sleeve gastrectomy (LSG) and is amenable to endoscopic therapy. The aim of this study was to evaluate the efficacy of a specifically designed self-expandable metal stent (SEMS) to seal the leakage. Patients and methods: Over a 2-year period, patients referred for the treatment of post-LSG fistulas underwent placement of a fully covered esophagogastric SEMS with a specific design. Results: A total of 10 patients were treated after a mean time of 50...
October 5, 2016: Endoscopy
Fabio Garofalo, Henri Atlas, Radu Pescarus
No abstract text is available yet for this article.
August 21, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Jordi Pujol Gebelli, Amador Garcia Ruiz de Gordejuela, Almino Cardoso Ramos, Mario Nora, Ana Marta Pereira, Josemberg Marins Campos, Manoela Galvão Ramos, Eduardo Lemos de Souza Bastos, João Batista Marchesini
Background: Bariatric surgery is performed all over the world with close to 500.000 procedures per year. The most performed techniques are Roux-en-Y gastric bypass and sleeve gastrectomy. Despite this data, the most effective procedure, biliopancreatic diversion with or without duodenal switch, represents only no more than 1.5% of the procedures. Technical complexity, morbidity, mortality, and severe nutritional adverse effects related to the procedure are the main fears that prevent most universal acceptance...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Lars Nelson, Rena C Moon, Andre F Teixeira, Manoel Galvão, Almino Ramos, Muhammad A Jawad
Background: Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) was introduced into bariatric surgery by Sanchez-Pernaute et al. as an advancement of the biliopancreatic diversion with duodenal switch. Aim: To evaluate the SADI-S procedure with regard to weight loss, comorbidity resolution, and complication rate in the super obese population. Methods: A retrospective chart review was performed on initial 72 patients who underwent laparoscopic or robot-assisted laparoscopic SADI-S between December 17th, 2013 and July 29th, 2015...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Avik Sarkar, Ragui Sadek, Matthew Lissauer, Swati Pawa
BACKGROUND: After an acute attack of pancreatitis, walled-off pancreatic fluid collections (PFC) occur in approximately 10 % of cases. Drainage of the cavity is recommended when specific indications are met. Endoscopic drainage has been adopted as the main intervention for symptomatic walled-off PFC. Altered gastric anatomy in these patients poses an interesting challenge. We present the first case of a patient with sleeve gastrectomy who underwent successful endoscopic transduodenal necrosectomy (TDN)...
2016: BMC Obesity
Elie Chouillard, Antoine Younan, Mubarak Alkandari, Ronald Daher, Bernard Dejonghe, Salman Alsabah, Jean Biagini
No abstract text is available yet for this article.
August 23, 2016: Surgical Endoscopy
Aayed R Alqahtani, Mohamed O Elahmedi, Awadh R Al Qahtani, Ahmad Yousefan, Ahmed R Al-Zuhair
BACKGROUND: No verdict has been reached on single-stage removal of gastric banding with sleeve gastrectomy. OBJECTIVES: To report 5-year outcomes of 1-stage gastric band removal and sleeve gastrectomy (Conversion-LSG) compared with primary laparoscopic sleeve gastrectomy (Prim-LSG). SETTING: Large single-surgeon prospective database. METHODS: Two patient groups were included: Conversion-LSG as the study group and Prim-LSG for comparison...
May 20, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Lionel Rebibo, Sami Hakim, Franck Brazier, Abdennaceur Dhahri, Cyril Cosse, Jean-Marc Regimbeau
BACKGROUND: Covered stent (CS) is required when gastric leak (GL) after sleeve gastrectomy is combined with gastric stenosis (GS) or when a large (>2 cm in diameter) gastric fistula is present (increasing the likelihood of double pigtail stent [DPS] migration). OBJECTIVE: To compare the results of our previous endoscopic management of large GL or GS associated with GL (using CS only) with those of our new endoscopic treatment (using combined CS and DPS). SETTING: University hospital, France, public practice...
April 28, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Matthieu Bruzzi, Richard Douard, Thibault Voron, Anne Berger, Franck Zinzindohoue, Jean-Marc Chevallier
BACKGROUND: Surgery appears to be the best treatment option for a chronic fistula after laparoscopic sleeve gastrectomy (LSG). Conservative procedures (conversion into a Roux-en-Y gastric bypass, Roux-limb placement) have proven their feasibility and efficacy, but an open total gastrectomy (TG) is sometimes required in challenging situations. OBJECTIVES: To assess outcomes from 12 consecutive patients who underwent surgery for a post-sleeve gastrectomy chronic fistula (PSGCF) between January 2004 and February 2012...
March 17, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Marius Nedelcu
No abstract text is available yet for this article.
March 28, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Amir H Aryaie, Jordan L Singer, Mojtaba Fayezizadeh, Jon Lash, Jeffrey M Marks
INTRODUCTION: Anastomotic or staple-line leak after foregut surgery presents a formidable management challenge. In recent years, with advancement of endoscopy, self-expanding covered stents have been gaining popularity. In this study, we aimed to determine the safety and effectiveness of self-expanding covered stents in management of leak after foregut surgery. METHODS: Consecutive patients who received a fully covered self-expandable metal stent (SEMS) due to an anastomotic leak after upper gastrointestinal surgery between 2009 and 2014 were retrospectively reviewed...
June 17, 2016: Surgical Endoscopy
Josemberg Marins Campos, Flávio Coelho Ferreira, André F Teixeira, Jones Silva Lima, Rena C Moon, Marco Aurélio D'Assunção, Manoel Galvão Neto
BACKGROUND: Chronic leaks after laparoscopic sleeve gastrectomy (LSG) are often difficult to treat by endoscopy metallic stent. Septotomy has been indicated as an effective procedure, but the technical aspects have not been detailed in previous publications (Campos JM, Siqueira LT, Ferraz AA, et al., J Am Coll Surg 204(4):711, 2007; Baretta G, Campos J, Correia S, et al., Surg Endosc 29(7):1714-20, 2015; Campos JM, Pereira EF, Evangelista LF, et al., Obes Surg 21(10):1520-9, 2011). We herein present a video (6 min) demonstrating the maneuver principles of this technique, showing it as a safe and feasible approach...
August 2016: Obesity Surgery
Palanivelu Praveenraj, Rachel M Gomes, Saravana Kumar, Palanisamy Senthilnathan, Ramakrishnan Parthasarathi, Subbiah Rajapandian, Chinnusamy Palanivelu
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed 'standalone' bariatric procedure in India. Staple line gastric leaks occur infrequently but cause significant and prolonged morbidity. The aim of this retrospective study was to analyse the management of patients with a gastric leak after LSG for morbid obesity at our institution. PATIENTS AND METHODS: From February 2008 to 2014, 650 patients with different degrees of morbid obesity underwent LSG...
October 2016: Journal of Minimal Access Surgery
Raquel Sánchez-Santos, Ricard Corcelles Codina, Ramon Vilallonga Puy, Salvadora Delgado Rivilla, Jose Vicente Ferrer Valls, Javier Foncillas Corvinos, Carlos Masdevall Noguera, Maria Socas Macias, Pedro Gomes, Carmen Balague Ponz, Jorge De Tomas Palacios, Sergio Ortiz Sebastian, Andres Sanchez-Pernaute, Jose Julian Puche Pla, Daniel Del Castillo Dejardin, Julen Abasolo Vega, Ester Mans Muntwyler, Ana Garcia Navarro, Carlos Duran Escribano, Norberto Cassinello Fernández, Nieves Perez Climent, Jose Antonio Gracia Solanas, Francisca Garcia-Moreno Nisa, Alberto Hernández Matias, Victor Valentí Azcarate, Jose Eduardo Perez Folques, Inmaculada Navarro Garcia, Eduardo Dominguez-Adame Lanuza, Sagrario Martinez Cortijo, Jesus González Fernández
BACKGROUND: Complications in sleeve gastrectomy (SG) can cast a shadow over the technique's good results and compromise its safety. The aim of this study is to identify risk factors for complications, and especially those that can potentially be modified to improve safety. METHODS: A retrospective multicenter cohort study was carried out, involving the participation of 29 hospitals. Data was collected on demographic variables, associated comorbidities, technical modifications, the surgeon's experience, and postoperative morbimortality...
May 19, 2016: Obesity Surgery
Roger Noun, Rita Slim, Marwan Nasr, Ghassan Chakhtoura, Joseph Gharios, Nayla Abi Antoun, Eliane Ayoub
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is currently the leading bariatric procedure and targets, among other obesity classes, patients with BMI 30-35 kg/m(2), which are reaching alarming proportions. METHODS: Between February 2010 and August 2015, data on 541 consecutive patients with BMI 30-35 kg/m(2) undergoing LSG were prospectively collected and analyzed. RESULTS: Mean age was 32 ± 8 years (13-65) and 419 (77.4 %) were women...
May 16, 2016: Obesity Surgery
Tomás Jakob, Patricio Cal, Luciano Deluca, Ezequiel Fernández
BACKGROUND: Bariatric surgery is currently the most effective treatment for morbid obesity. Short-stay procedures have gained popularity in many surgical sub-specialties. Main benefits are early discharge, minimal loss of productivity, cost reductions, and a reduced risk of infections. Such procedures can be undertaken if the patient's safety is not jeopardized. Laparoscopic sleeve gastrectomy (LSG) has consolidated itself as a primary bariatric technique. One matter of discussion relates to its associated quick postoperative recovery, as debate rages over whether there are patient benefits to hospital stays beyond 24 h...
May 3, 2016: Surgical Endoscopy
Anjuli K Luthra, Adolfo Z Fernandez, John A Evans
No abstract text is available yet for this article.
2016: International Journal of Surgery Case Reports
Frédéric Lemaître, Philippe Léger, Marius Nedelcu, David Nocca
INTRODUCTION: The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. METHODS: A retrospective review of a prospectively collected database of LSGs carried out by one surgeon in one center. The percentage of excess weight loss and the rate of resolution or improvement of comorbidities reflected efficacy, and major complications or mortalities reflected safety...
April 8, 2016: International Journal of Surgery
Vanessa Falk, Laurie Twells, Deborah Gregory, Raleen Murphy, Chris Smith, Darrell Boone, David Pace
BACKGROUND: Newfoundland and Labrador (NL) has the highest rate of obesity in Canada, prompting the establishment of a bariatric surgery program at the Health Sciences Centre in NL. This retrospective study examined 30-day complication rates in more than 200 consecutive patients who underwent laparoscopic sleeve gastrectomy (LSG) between May 2011 and February 2014. METHODS: We performed a chart review and collected data on 30-day postoperative complications. Complications were graded and reported using the Clavien-Dindo classification...
April 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Julián Hernández, Camilo Boza
Bariatric surgery has been considered one of best treatments for obesity. As every surgical procedure-and any medical intervention, it is not exempt of complications, among which leaks, strictures, acute hemorrhages and fistulae highlight. Leaks are more common in the gastro-jejunal anastomosis (GJA) in the case of Roux-en-y Gastric Bypass (RYGB), while in Sleeve Gastrectomy (LSG) they locate in the stapler line. Stenosis can be seen in the gastro-jejunostomy in the RYGB and in the gastric tube in case of the LSG...
2016: Annals of Surgical Innovation and Research
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"