MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY
MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY Nasseif Jassim Mohammed@ & Falih M Algazgooz* @MB,ChB, CABS, FICMS, General and Laparoendoscopic Surgeon, Al-Sadr Teaching Hospital. *MB,ChB, CABS, FICMS, FACS, MRCS, Consultant Bariatric and Laparoendoscopic Surgeon, Al-Sadr Teachi...
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| Format: | Article |
| Language: | English |
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university of basrah
2018-06-01
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| Series: | Basrah Journal of Surgery |
| Subjects: | |
| Online Access: | https://bjsrg.uobasrah.edu.iq/article_160107_0839780e2f132430e8a52c567ea1fddc.pdf |
| _version_ | 1818572585646948352 |
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| author | Nasseif Jassim Mohammed Falih M Algazgooz |
| author_facet | Nasseif Jassim Mohammed Falih M Algazgooz |
| author_sort | Nasseif Jassim Mohammed |
| collection | DOAJ |
| description | MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY
Nasseif Jassim Mohammed@ & Falih M Algazgooz* @MB,ChB, CABS, FICMS, General and Laparoendoscopic Surgeon, Al-Sadr Teaching Hospital. *MB,ChB, CABS, FICMS, FACS, MRCS, Consultant Bariatric and Laparoendoscopic Surgeon, Al-Sadr Teaching Hospital, Basrah, IRAQ.
Abstract Bariatric surgery is a growing specialty and the number of laparoscopic sleeve gastrectomies (LSG) has increased dramatically in the latest years all over the world. Gastric leak is considered one of the most serious complications following laparoscopic sleeve gastrectomy, it can become chronic, recurrent, and need multiple interferences. The purpose of the present study is to determine the clinical presentation of gastric leak after LSG, its management, postoperative course, and to show the effectiveness of various ways of managing such complication. This study included 200 patients who underwent sleeve gastrectomy at Al-Sadr Teaching Hospital for morbid obesity, they were 60 males(30%) and 140 females(70%). The mean age was 35 years and the mean body mass index (BMI) was 39 kg/m2. Out of the 200 patients who underwent laparoscopic sleeve gastrectomy, 6 patients (3%) were recognized to have leak complication. All leaks were proximal and identified at the gastroesophageal junction. Management was accomplished by putting T tube at the site of leak for 2 patients, direct closure for one patient, just drainage for one patient, and Roux-en-Y Gastric Bypass (RYGB) for the remaining 2 patients. In conclusion, prompt diagnosis and treatment is vital in the management of a leak. However, it can be treated securely via numerous management ways depending on the time of diagnosis and magnitude of the leakage. |
| first_indexed | 2024-12-14T22:59:05Z |
| format | Article |
| id | doaj.art-18c653e38d804355936a1f803e14e485 |
| institution | Directory Open Access Journal |
| issn | 1683-3589 2409-501X |
| language | English |
| last_indexed | 2024-12-14T22:59:05Z |
| publishDate | 2018-06-01 |
| publisher | university of basrah |
| record_format | Article |
| series | Basrah Journal of Surgery |
| spelling | doaj.art-18c653e38d804355936a1f803e14e4852022-12-21T22:44:30Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2018-06-01241576210.33762/bsurg.2018.160107160107MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMYNasseif Jassim MohammedFalih M AlgazgoozMANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY Nasseif Jassim Mohammed@ & Falih M Algazgooz* @MB,ChB, CABS, FICMS, General and Laparoendoscopic Surgeon, Al-Sadr Teaching Hospital. *MB,ChB, CABS, FICMS, FACS, MRCS, Consultant Bariatric and Laparoendoscopic Surgeon, Al-Sadr Teaching Hospital, Basrah, IRAQ. Abstract Bariatric surgery is a growing specialty and the number of laparoscopic sleeve gastrectomies (LSG) has increased dramatically in the latest years all over the world. Gastric leak is considered one of the most serious complications following laparoscopic sleeve gastrectomy, it can become chronic, recurrent, and need multiple interferences. The purpose of the present study is to determine the clinical presentation of gastric leak after LSG, its management, postoperative course, and to show the effectiveness of various ways of managing such complication. This study included 200 patients who underwent sleeve gastrectomy at Al-Sadr Teaching Hospital for morbid obesity, they were 60 males(30%) and 140 females(70%). The mean age was 35 years and the mean body mass index (BMI) was 39 kg/m2. Out of the 200 patients who underwent laparoscopic sleeve gastrectomy, 6 patients (3%) were recognized to have leak complication. All leaks were proximal and identified at the gastroesophageal junction. Management was accomplished by putting T tube at the site of leak for 2 patients, direct closure for one patient, just drainage for one patient, and Roux-en-Y Gastric Bypass (RYGB) for the remaining 2 patients. In conclusion, prompt diagnosis and treatment is vital in the management of a leak. However, it can be treated securely via numerous management ways depending on the time of diagnosis and magnitude of the leakage.https://bjsrg.uobasrah.edu.iq/article_160107_0839780e2f132430e8a52c567ea1fddc.pdfstaple line leakssleeve gastrectomy |
| spellingShingle | Nasseif Jassim Mohammed Falih M Algazgooz MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY Basrah Journal of Surgery staple line leaks sleeve gastrectomy |
| title | MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY |
| title_full | MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY |
| title_fullStr | MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY |
| title_full_unstemmed | MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY |
| title_short | MANAGEMENT OF STAPLE LINE LEAKS FOLLOWING SLEEVE GASTRECTOMY |
| title_sort | management of staple line leaks following sleeve gastrectomy |
| topic | staple line leaks sleeve gastrectomy |
| url | https://bjsrg.uobasrah.edu.iq/article_160107_0839780e2f132430e8a52c567ea1fddc.pdf |
| work_keys_str_mv | AT nasseifjassimmohammed managementofstaplelineleaksfollowingsleevegastrectomy AT falihmalgazgooz managementofstaplelineleaksfollowingsleevegastrectomy |