Endoscopic Ultrasound (EUS)-Guided Drainage of a Postsleeve Gastrectomy Subphrenic Collection Using a Lumen Apposition Stent

被引：2

作者：

Machlab, Salvador ^{[1
,2
]}

Pascua-Sole, Mireia ^{[3
]}

Hernandez, Leticia ^{[1
]}

Lira, Alba ^{[1
]}

Vives, Jordi ^{[1
]}

Pedregal, Patricia ^{[1
]}

Luna, Alexis ^{[3
]}

Junquera, Felix ^{[1
,4
]}

机构：

[1] Parc Tauli Hosp Univ, Digest Dis Dept, Inst Invest & Innovacio Parc Tauli, Barcelona, Spain

[2] Univ Autonoma Barcelona, Dept Med, Barcelona, Spain

[3] Parc Tauli Hosp Univ, Surg Dept, Inst Invest & Innovacio Parc Tauli, Barcelona, Spain

[4] Inst Salud Carlos III, CIBEREHD, Madrid 28029, Spain

来源：

OBESITY SURGERY | 2020年 / 30卷 / 08期

关键词：

Bariatric surgery; Drainage; Endosonography; Endoscopy; Sleeve gastrectomy; Leak; Sepsis; WALLED-OFF NECROSIS; METAL STENT; SLEEVE GASTRECTOMY; LEAKS;

D O I：

10.1007/s11695-020-04553-w

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Sleeve gastrectomy is currently the most frequently performed bariatric surgery. Postoperative leaks represent the main cause of morbidity in up to 8% of patients with a mortality rate ranging between 0.1 and 5%. However, management of these leaks remains controversial. We report the case of a patient presenting with sepsis 2 weeks after surgery. A subphrenic collection and a leak were found on CT. Despite medical treatment, the patient did not show clinical improvement. Hence, we considered a transgastric endosonographic-guided drainage of the collection using an electrocautery-enhanced lumen-apposing metal stent (LAMS). The procedure underwent uneventfully, and the patient status improved rapidly. Two weeks later, the stent was withdrawn. A follow-up endoscopy 6 weeks later showed closure of the gastric wall defect.

引用

页码：3236 / 3238

页数：3

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