Anastomotic leaks after laparoscopic gastric bypass

被引:87
作者
Gonzalez, R [1 ]
Nelson, LG [1 ]
Gallagher, SF [1 ]
Murr, MM [1 ]
机构
[1] Univ S Florida, Coll Med, Dept Surg, Interdisciplinary Obes Treatment Grp, Tampa, FL 33601 USA
关键词
anastomotic leak; morbid obesity; laparoscopic gastric bypass;
D O I
10.1381/0960892042583978
中图分类号
R61 [外科手术学];
学科分类号
摘要
The gastrojejunostomy may be the most technically challenging step when performing laparoscopic Roux-en-Y gastric bypass. Patients who develop anastomotic leaks have increased morbidity and mortality rates. Difficulty in diagnosis is related to nonspecific systemic symptoms and limitations in most radiological studies. Our aim is to evaluate the incidence, etiology, diagnosis, management, and prevention of anastomotic leaks occurring in patients undergoing laparoscopic Roux-en-Y gastric bypass.
引用
收藏
页码:1299 / 1307
页数:9
相关论文
共 52 条
[1]   Laparoscopic Roux-en-Y gastric bypass - Evaluation of three different techniques [J].
Abdel-Galil, E ;
Sabry, AA .
OBESITY SURGERY, 2002, 12 (05) :639-642
[2]  
ADZICK NS, 1997, TXB SURG BIOL BASIS, P207
[3]  
AHMAD A, 2004, SURG ENDOSC, V18, pS204
[4]   The use of bovine pericardial strips on linear stapler to reduce extraluminal bleeding during laparoscopic gastric bypass: Prospective randomized clinical trial [J].
Angrisani, L ;
Lorenzo, M ;
Borrelli, V ;
Ciannella, M ;
Bassi, UA ;
Scarano, P .
OBESITY SURGERY, 2004, 14 (09) :1198-1202
[5]  
ASSALIA A, 2004, SURG ENDOSC, V18, pS192
[6]   Prevalence and risk factors for ischemia, leak, and stricture of esophageal anastomosis: Gastric pull-up versus colon interposition [J].
Briel, JW ;
Tamhankar, AP ;
Hagen, JA ;
DeMeester, SR ;
Johansson, J ;
Choustoulakis, E ;
Peters, JH ;
Bremner, CG ;
DeMeester, TR .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2004, 198 (04) :536-541
[7]   COMPARISON OF BURSTING PRESSURE OF SUTURED, STAPLED AND BAR ANASTOMOSES [J].
BUNDY, CA ;
JACOBS, DM ;
ZERA, RT ;
BUBRICK, MP .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1993, 8 (01) :1-3
[8]   Total Stapled, Total Intra-abdominal (TSTI) laparoscopic Roux-en-Y gastric bypass: One leak in 1,000 cases [J].
Carrasquilla, C ;
English, WJ ;
Esposito, P ;
Gianos, J .
OBESITY SURGERY, 2004, 14 (05) :613-617
[9]   Stapled versus hand-sewn anastomoses in emergency intestinal surgery: Results of a prospective randomized study [J].
Catena, F ;
La Donna, M ;
Gagliardi, S ;
Avanzolini, A ;
Taffurelli, M .
SURGERY TODAY, 2004, 34 (02) :123-126
[10]   Role of routine intraoperative endoscopy in laparoscopic bariatric surgery [J].
Champion, JK ;
Hunt, T ;
DeLisle, N .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2002, 16 (12) :1663-1665