The Use of Endoscopic Stent in Management of Leaks After Sleeve Gastrectomy |
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Authors: | Ninh T Nguyen Xuan-Mai T Nguyen Chirag Dholakia |
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Institution: | (1) Department of Surgery, University of California, Irvine Medical Center, 333 City Blvd. West, Suite 850, Orange, CA 92868, USA |
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Abstract: | Gastric leak after sleeve gastrectomy can lead to significant morbidity and mortality. The aim of this study was to examine
the safety and efficacy of endoscopic deployment of a covered esophageal stent in the management of leaks after sleeve gastrectomy.
Three consecutive patients who underwent sleeve gastrectomy at outside institutions presented with leaks. All three patients
underwent endoscopic placement of a covered stent. Additional procedures included laparoscopic or percutaneous drainage of
abdominal collection(s). The patients were two women and one man, with a mean age of 34 years. One patient presented acutely
at day 7 after the index operation and two patients presented late at 6 and 9 months, respectively. Two patients had proximal
gastric leaks and one patient had a proximal gastric leak with a concomitant obstruction at the mid-aspect of the gastric
sleeve. Endoscopic deployment of a covered stent was successful in all cases. There were no complications relating to the
stent placement. The stent was removed at 6 weeks in two patients and at 4 months in one patient. The use of endoscopic stent
was a safe and effective option in the management of leaks after sleeve gastrectomy. |
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