Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy

被引：26

作者：

Archid, Rami ^{[1
]}

Wichmann, Doerte ^{[1
]}

Klingert, Wilfried ^{[1
]}

Nadiradze, Giorgi ^{[1
]}

Hoenes, Felix ^{[1
]}

Archid, Nicole ^{[1
]}

Othman, Ahmed E. ^{[2
]}

Ahmad, Suhaib J. S. ^{[3
]}

Koenigsrainer, Alfred ^{[1
]}

Lange, Jessica ^{[1
]}

机构：

[1] Eberhard Karls Univ Tubingen, Dept Gen Visceral & Transplant Surg, Hoppe Seyler Str 3, D-72076 Tubingen, Germany

[2] Eberhard Karls Univ Tubingen, Dept Diagnost & Intervent Radiol, Hoppe Seyler Str 3, D-72076 Tubingen, Germany

[3] Univ Buckingham, Sch Med, Buckingham MK18 1EG, England

来源：

OBESITY SURGERY | 2020年 / 30卷 / 04期

关键词：

Endoscopic vacuum therapy (EVT); Open-pore film drainage (OFD); Bariatric surgery; Sleeve gastrectomy; Complications management; PORE FILM DRAINAGE; GASTRIC LEAKS; MANAGEMENT; PRESSURE;

D O I：

10.1007/s11695-019-04269-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose Management of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks. Materials and Methods Eight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed. Results During the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 +/- 8.6 days of EVT, 3.3 +/- 2.2 endoscopies, and 19 +/- 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%). Conclusions EVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.

引用

页码：1310 / 1315

页数：6

共 20 条

[1] The science of stapling and leaks [J].

Baker, RS ;

Foote, J ;

Kemmeter, P ;

Brady, R ;

Vroegop, T ;

Serveld, M .

OBESITY SURGERY, 2004, 14 (10) :1290-1298

[2] Endoscopic Internal Drainage Coupled to Prompt External Drainage Mobilization Is an Effective Approach for the Treatment of Complicated Cases of Sleeve Gastrectomy [J].

Dammaro, Carmelisa ;

Lainas, Panagiotis ;

Dumont, Jean Loup ;

Tranchart, Hadrien ;

Donatelli, Gianfranco ;

Dagher, Ibrahim .

OBESITY SURGERY, 2019, 29 (09) :2929-2935

[3] Intraoperative Endoscopic Botox Injection During Total Esophagectomy Prevents the Need for Pyloromyotomy or Dilatation [J].

Fuchs, Hans F. ;

Broderick, Ryan C. ;

Harnsberger, Cristina R. ;

Divo, Francisco Alvarez ;

Coker, Alisa M. ;

Jacobsen, Garth R. ;

Sandler, Bryan J. ;

Bouvet, Michael ;

Horgan, Santiago .

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2016, 26 (06) :433-438

[4] Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review [J].

Gagner, Michel ;

Buchwald, Jane N. .

SURGERY FOR OBESITY AND RELATED DISEASES, 2014, 10 (04) :713-723

[5] Endoscopic vacuum therapy for various defects of the upper gastrointestinal tract [J].

Kuehn, Florian ;

Loske, Gunnar ;

Schiffmann, Leif ;

Gock, Michael ;

Klar, Ernst .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (09) :3449-3458

[6] Successful closure of defects in the upper gastrointestinal tract by endoscopic vacuum therapy (EVT): a prospective cohort study [J].

Laukoetter, Mike G. ;

Mennigen, Rudolf ;

Neumann, Philipp A. ;

Dhayat, Sameer ;

Horst, Gabriele ;

Palmes, Daniel ;

Senninger, Norbert ;

Vowinkel, Thorsten .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (06) :2687-2696

[7] Botulinum Toxin Injection for the Treatment of Delayed Gastric Emptying Following Pylorus-Preserving Gastrectomy: an Initial Experience [J].

Lee, Jung Hwan ;

Kim, Chan Gyoo ;

Kim, Young-Woo ;

Choi, Il Ju ;

Lee, Jong Yeul ;

Cho, Soo-Jeong ;

Kim, Young-Il ;

Eom, Bang Wool ;

Yoon, Hong Man ;

Ryu, Keun Won .

JOURNAL OF GASTRIC CANCER, 2017, 17 (02) :173-179

[8] Management of gastric leaks after sleeve gastrectomy with endoluminal vacuum (E-Vac) therapy [J].

Leeds, Steven G. ;

Burdick, James S. .

SURGERY FOR OBESITY AND RELATED DISEASES, 2016, 12 (07) :1278-1285

[9] Novel oesophago-gastro-duodenal stenting for gastric leaks after laparoscopic sleeve gastrectomy [J].

Liu, Shirley Yuk-Wah ;

Wong, Simon Kin-Hung ;

Ng, Enders Kwok-Wai .

OBESITY RESEARCH & CLINICAL PRACTICE, 2015, 9 (03) :214-219

[10]

Loske G, 2017, CHIRURG, V88, P42, DOI 10.1007/s00104-016-0318-7

← 1 2 →