Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy
The number of laparoscopic sleeve gastrectomies (LSGs) performed in patients with obesity who are eligible for bariatric and metabolic surgery is currently much lower in Japan than in other countries. Considering the large number of potential patients with obesity and type 2 diabetes and the unique...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/10/3495 |
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| author | Takashi Oshiro Kotaro Wakamatsu Taiki Nabekura Yuki Moriyama Natsumi Kitahara Kengo Kadoya Ayami Sato Tomoaki Kitahara Tasuku Urita Yu Sato Makoto Nagashima Masaru Tsuchiya Shinichi Okazumi |
| author_facet | Takashi Oshiro Kotaro Wakamatsu Taiki Nabekura Yuki Moriyama Natsumi Kitahara Kengo Kadoya Ayami Sato Tomoaki Kitahara Tasuku Urita Yu Sato Makoto Nagashima Masaru Tsuchiya Shinichi Okazumi |
| author_sort | Takashi Oshiro |
| collection | DOAJ |
| description | The number of laparoscopic sleeve gastrectomies (LSGs) performed in patients with obesity who are eligible for bariatric and metabolic surgery is currently much lower in Japan than in other countries. Considering the large number of potential patients with obesity and type 2 diabetes and the unique Japanese national health insurance system that guarantees fair healthcare delivery, there is room to increase the number of LSGs in Japan in the near future. However, strict health insurance regulations may limit access to mandatory devices needed to treat postoperative complications, such as staple line leakage, which can cause severe morbidity and even mortality. Therefore, understanding the pathogenesis and treatment options for this complication is crucial. This article examined the current situation in Japan and its impact on staple line leakage management, including the role of endoscopic treatment in reducing reoperation. The authors suggest increasing education and collaboration between healthcare professionals to optimize management and improve patient outcomes. |
| first_indexed | 2024-03-11T03:37:04Z |
| format | Article |
| id | doaj.art-0019e6d79a6f43ae9bb9520226fd8766 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T03:37:04Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0019e6d79a6f43ae9bb9520226fd87662023-11-18T01:53:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011210349510.3390/jcm12103495Treatments for Staple Line Leakage after Laparoscopic Sleeve GastrectomyTakashi Oshiro0Kotaro Wakamatsu1Taiki Nabekura2Yuki Moriyama3Natsumi Kitahara4Kengo Kadoya5Ayami Sato6Tomoaki Kitahara7Tasuku Urita8Yu Sato9Makoto Nagashima10Masaru Tsuchiya11Shinichi Okazumi12Department of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanDepartment of Surgery, Toho University Sakura Medical Center, Sakura 285-8741, JapanThe number of laparoscopic sleeve gastrectomies (LSGs) performed in patients with obesity who are eligible for bariatric and metabolic surgery is currently much lower in Japan than in other countries. Considering the large number of potential patients with obesity and type 2 diabetes and the unique Japanese national health insurance system that guarantees fair healthcare delivery, there is room to increase the number of LSGs in Japan in the near future. However, strict health insurance regulations may limit access to mandatory devices needed to treat postoperative complications, such as staple line leakage, which can cause severe morbidity and even mortality. Therefore, understanding the pathogenesis and treatment options for this complication is crucial. This article examined the current situation in Japan and its impact on staple line leakage management, including the role of endoscopic treatment in reducing reoperation. The authors suggest increasing education and collaboration between healthcare professionals to optimize management and improve patient outcomes.https://www.mdpi.com/2077-0383/12/10/3495laparoscopic sleeve gastrectomysleeve leakageclip treatmentendoscopic balloon dilationstent treatmentpercutaneous transesophageal gastro-tubing |
| spellingShingle | Takashi Oshiro Kotaro Wakamatsu Taiki Nabekura Yuki Moriyama Natsumi Kitahara Kengo Kadoya Ayami Sato Tomoaki Kitahara Tasuku Urita Yu Sato Makoto Nagashima Masaru Tsuchiya Shinichi Okazumi Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy Journal of Clinical Medicine laparoscopic sleeve gastrectomy sleeve leakage clip treatment endoscopic balloon dilation stent treatment percutaneous transesophageal gastro-tubing |
| title | Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy |
| title_full | Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy |
| title_fullStr | Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy |
| title_full_unstemmed | Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy |
| title_short | Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy |
| title_sort | treatments for staple line leakage after laparoscopic sleeve gastrectomy |
| topic | laparoscopic sleeve gastrectomy sleeve leakage clip treatment endoscopic balloon dilation stent treatment percutaneous transesophageal gastro-tubing |
| url | https://www.mdpi.com/2077-0383/12/10/3495 |
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