Staple-line leak after sleve gastrectomy in obese patients：A hot topic in bariatric surgery

• 作者: Donato Alessandro Telesca Giuseppe Galloro Marco Milone Mario Musella Raffaele Manta. Simona Ruggiero Teresa Russo
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: BARIATRIC surgery LEAK OBESITY Sleevegastrectomy Endoscopic STENT Therapy
• 年，卷（期）: 2015,（9）
• 页码范围: 843-846
• 页数: 4页
• 分类号: R

摘要

Laparoscopic sleeve gastrectomy is a surgical procedurethat is being increasingly performed on obese patients.Among its complications, leaks are the most seriousand life threatening. The placement of esophageal,covered, self-expandable metal stents in these caseshas been performed by many authors but reports on theoutcome of this procedure are limited and the technicalaspects are not well defined. Stent migration is the maincomplication of the procedure and poses a challenge tothe surgeon, with a limited number of options. Here weevaluate the technical and clinical outcome of a new,dedicated, self-expanding metal stent, comparing theadvantages of this stent to those traditionally used totreat staple-line leak after sleeve gastrectomy. Whilepublished data are limited, they seem support the use ofthis kind of new stent as the best option for the stentingtreatment of a staple-line leak after sleeve gastrectomy,over other kinds of stents. Further studies based onlarger series are needed to better evaluate patientoutcome.