Efficacy and Safety of Stents in the Treatment of Fistula After Bariatric Surgery: a Systematic Review and Meta-analysis

被引：61
作者：
Okazaki, Ossamu [1 ]
Bernardo, Wanderley M. [1 ]
Brunaldi, Vitor O. [1 ]
de Clemente Junior, Cesar C. [1 ]
Minata, Mauricio K. [1 ]
de Moura, Diogo T. H. [1 ]
de Souza, Thiago F. [1 ]
Campos, Josemberg Marins [2 ]
Santo, Marco Aurelio [3 ]
de Moura, Eduardo G. H. [1 ]
机构：
[1] Univ Sao Paulo, Hosp Clin, Gastrointestinal Endoscopy Unit, Med Sch, Dr Arnaldo Av 255, BR-01246903 Sao Paulo, Brazil
[2] Univ Pernambuco, Dept Surg, Recife, PE, Brazil
[3] Univ Sao Paulo, Med Sch, Hosp Clin, Bariatr & Metab Surg Unit, Sao Paulo, Brazil
来源：
OBESITY SURGERY | 2018年 / 28卷 / 06期
关键词：
Sleeve; Bypass; Bariatric; Stent; Fistula; ROUX-EN-Y; LAPAROSCOPIC GASTRIC BYPASS; EXPANDABLE METAL STENTS; STAPLE-LINE LEAKS; ANASTOMOTIC LEAKS; SLEEVE GASTRECTOMY; ENDOSCOPIC MANAGEMENT; PRACTICE GUIDELINES; COMPLICATIONS; EXPERIENCE;
D O I：
10.1007/s11695-018-3236-6
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Fistula development is a serious complication after bariatric surgery. We performed a systematic review and meta-analysis to assess the efficacy of fistula closure and complications associated with endoscopic stent treatment of fistulas, developed after bariatric surgeries, particularly Roux-en-Y gastric bypass (RYGB) and gastric sleeve (GS). Studies involving patients with fistula after RYGB or GS and those who received stent treatment only were selected. The analyzed outcomes were overall success rate of fistula closure, mean number of stents per patient, mean stent dwelling time, and procedure-associated complications. Current evidence from identified studies demonstrates that, in selected patients, endoscopic stent treatment of fistulas after GS or RYGB can be safe and effective.
引用
收藏
页码：1788 / 1796
页数：9
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