The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Gastric Leak After Laparoscopic-Sleeve Gastrectomy for Obesity
Open accessAbstract
BackgroundOne of the most serious complications after laparoscopic sleeve gastrectomy (LSG) is gastric leak. Few publications exist concerning the treatment of gastric leak. We sought to determine by way of a prospective study the clinical presentation, postoperative course, and treatment of gastric leak after LSG for obesity.MethodsFrom October 2005 to August 2008, 214 patients with different degrees of obesity underwent LSG. During surgery, each patient received saline with methylene blue by way of nasogastric tube and had a drain placed. All patients underwent radiologic study with liquid barium sulphate on postoperative day 3.ResultsSeven patients developed gastric leak. Leak in two patients (28.6%) was diagnosed by upper gastrointestinal tract (UGI) study. Two patients had type I leak (28.6%), and five patients had type II leak (71.4%). Four patients underwent reoperation. Three patients were managed medically with enteral or parenteral feeding; the drain was maintained in situ; and collections were drained by percutaneous punctions guided by computed axial tomography. Mean hospital length of stay was 28.8 days, and time to leakage closure was 43 days after surgery.ConclusionDifferent ways exist to manage gastric leak, depending on the magnitude of the collection and the clinical repercussions. When treatment necessitates reintervention and is performed early, suture repair is more likely to be successful. Leakage closure time will vary.
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Cites
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Regan, J. P., Inabnet, W. B., Gagner, M., & Pomp, A. (2003) · Obesity Surgery · doi:10.1381/096089203322618669 · Cited by 850
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Laparoscopic Sleeve Gastrectomy: A Multi-purpose Bariatric Operation
Baltasar, A., Serra, C., Pérez, N., Bou, R., Bengochea, M., & Ferri, L. (2005) · Obesity Surgery · doi:10.1381/0960892055002248 · Cited by 498
The Science of Stapling and Leaks
Baker, R. S., Foote, J., Kemmeter, P., Brady, R., Vroegop, T., & Serveld, M. (2004) · Obesity Surgery · doi:10.1381/0960892042583888 · Cited by 441
Laparoscopic Sleeve Gastrectomy—Volume and Pressure Assessment
Yehoshua, R. T., Eidelman, L. A., Stein, M., Fichman, S., Mazor, A., Chen, J., Bernstine, H., Singer, P., Dickman, R., Shikora, S. A., et al. (2008) · Obesity Surgery · doi:10.1007/s11695-008-9576-x · Cited by 440
Laparoscopic Sleeve Gastrectomy — Influence of Sleeve Size and Resected Gastric Volume
Weiner, R. A., Weiner, S., Pomhoff, I., Jacobi, C., Makarewicz, W., & Weigand, G. (2007) · Obesity Surgery · doi:10.1007/s11695-007-9232-x · Cited by 436
Sleeve Gastrectomy — A Restrictive Procedure?
Melissas, J., Koukouraki, S., Askoxylakis, J., Stathaki, M., Daskalakis, M., Perisinakis, K., & Karkavitsas, N. (2007) · Obesity Surgery · doi:10.1007/s11695-007-9006-5 · Cited by 385
Cited by
Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients
Aurora, A. R., Khaitan, L., & Saber, A. A. (2012) · Surgical Endoscopy · doi:10.1007/s00464-011-2085-3 · Cited by 698
Current treatments for obesity
Ruban, A., Stoenchev, K., Ashrafian, H., & Teare, J. (2019) · Clinical Medicine · doi:10.7861/clinmedicine.19-3-205 · Cited by 266
Shikora, S. A., & Mahoney, C. B. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1703-x · Cited by 210
Rahmi, G., Pidial, L., Silva, A. K. A., Blondiaux, E., Meresse, B., Gazeau, F., Autret, G., Balvay, D., Cuenod, C. A., Perretta, S., et al. (2016) · Theranostics · doi:10.7150/thno.14064 · Cited by 26
Metadata
- Authors
- Burgos, A. M., Braghetto, I., Csendes, A., Maluenda, F., Korn, O., Yarmuch, J., & Gutierrez, L.
- Venue
- Obesity Surgery
- Published
- 2009-06-09
- Volume
- 19
- Issue
- 12
- Pages
- 1672-1677
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W1993208462
- Cited by
- 340
- References
- 20
- FWCI
- 14.76
- Type
- journal article
- Language
- en
- Open access
- green
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- Burgos, A. M., Braghetto, I., Csendes, A., Maluenda, F., Korn, O., Yarmuch, J., & Gutierrez, L. (2009). Gastric Leak After Laparoscopic-Sleeve Gastrectomy for Obesity. Obesity Surgery. https://doi.org/10.1007/s11695-009-9884-9
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