Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report
Background and purpose: Bariatric surgeries are effective treatments for morbid obesity, among which sleeve gastrectomy (SG) has become more popular. One of the most serious complications of this method is anastomosis leak which is treated by reoperation or endotherapy. The use of clips is recently...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2019-02-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-11841-en.html |
| _version_ | 1797943892682735616 |
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| author | Ahmad Hormati Mohammad Saeedi Mohammadreza Ghadir Samira Dastjani Farahani Roghayeh Ebadizadeh |
| author_facet | Ahmad Hormati Mohammad Saeedi Mohammadreza Ghadir Samira Dastjani Farahani Roghayeh Ebadizadeh |
| author_sort | Ahmad Hormati |
| collection | DOAJ |
| description | Background and purpose: Bariatric surgeries are effective treatments for morbid obesity, among which sleeve gastrectomy (SG) has become more popular. One of the most serious complications of this method is anastomosis leak which is treated by reoperation or endotherapy. The use of clips is recently proposed as a safe and effective option for treatment of leaks following bariatric surgeries. This article presents the case of a woman with sepsis following sleeve gastrectomy who was diagnosed with anastomosis leak. A 57 year -old woman weighing 140 kg (BMI: 54.6) underwent sleeve gastrectomy due to menopause obesity and sleep apnea. She had abdominal pain, fever, and leukocytosis following surgery. With suspicion of surgical complications, the patient underwent gastrografin study and leakage was seen at the junction of cardia and fundus. Oral feeding stopped immediately and intravenous antibiotics started. Then, signs of sepsis were seen and the patient underwent upper GI endoscopy and the fistula was closed using an Ovesco clip. She was discharged four days later in good general situation. Anastomosis leak is a rare complication following sleeve gastrectomy which is associated with significant mortality and morbidity. Patient’s follow-up and a clinical suspicion help clinicians to make appropriate decisions for management of these patients. |
| first_indexed | 2024-04-10T20:31:19Z |
| format | Article |
| id | doaj.art-fcee6d92b74b43e8816316fd137d7c52 |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-04-10T20:31:19Z |
| publishDate | 2019-02-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-fcee6d92b74b43e8816316fd137d7c522023-01-25T06:58:45ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792019-02-0128169175180Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case ReportAhmad Hormati0Mohammad Saeedi1Mohammadreza Ghadir2Samira Dastjani Farahani3Roghayeh Ebadizadeh4 Assistant Professor, Department of Internal Medicine, Gastroenterology and Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, Iran Assistant Professor, Department of Anesthesiology, Gastroenterology and Hepatology Disease Research Center Qom University of Medical Sciences, Qom, Iran Professor, Department of Internal Medicine, Gastroenterology and Hepatology Disease Research Center Qom University of Medical Sciences, Qom, Iran General Practitioner, Gastroenterology and Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, Iran General Practitioner, Gastroenterology and Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, Iran Background and purpose: Bariatric surgeries are effective treatments for morbid obesity, among which sleeve gastrectomy (SG) has become more popular. One of the most serious complications of this method is anastomosis leak which is treated by reoperation or endotherapy. The use of clips is recently proposed as a safe and effective option for treatment of leaks following bariatric surgeries. This article presents the case of a woman with sepsis following sleeve gastrectomy who was diagnosed with anastomosis leak. A 57 year -old woman weighing 140 kg (BMI: 54.6) underwent sleeve gastrectomy due to menopause obesity and sleep apnea. She had abdominal pain, fever, and leukocytosis following surgery. With suspicion of surgical complications, the patient underwent gastrografin study and leakage was seen at the junction of cardia and fundus. Oral feeding stopped immediately and intravenous antibiotics started. Then, signs of sepsis were seen and the patient underwent upper GI endoscopy and the fistula was closed using an Ovesco clip. She was discharged four days later in good general situation. Anastomosis leak is a rare complication following sleeve gastrectomy which is associated with significant mortality and morbidity. Patient’s follow-up and a clinical suspicion help clinicians to make appropriate decisions for management of these patients.http://jmums.mazums.ac.ir/article-1-11841-en.htmlsleeve gastrectomtyovesco clipleak |
| spellingShingle | Ahmad Hormati Mohammad Saeedi Mohammadreza Ghadir Samira Dastjani Farahani Roghayeh Ebadizadeh Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report Journal of Mazandaran University of Medical Sciences sleeve gastrectomty ovesco clip leak |
| title | Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report |
| title_full | Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report |
| title_fullStr | Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report |
| title_full_unstemmed | Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report |
| title_short | Endoscopic Treatment of Anastomotic Leakage Following Sleeve Gastrectomy: A Case Report |
| title_sort | endoscopic treatment of anastomotic leakage following sleeve gastrectomy a case report |
| topic | sleeve gastrectomty ovesco clip leak |
| url | http://jmums.mazums.ac.ir/article-1-11841-en.html |
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