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摘要:
Objectives: The aim of this study was to assess the safety and efficacy of percutaneous CT-guided drainage of gastric leaks post sleeve gastrectomy. Methods: For this single-center retrospective study, we reviewed the clinical data of 78 patients (44 men and 34 women with an average age of 34.6 ±10.5 years and a body mass index (BMI) of 45 kg/m2 ±3.2) that underwent percutaneous CT-guided drainage of gastric leaks due to sleeve gastrectomy from September 2011 to September 2018. The outcome measurements were technical and clinical success, complications, and the need for revisional surgery. Results: The technical success rate of drain insertion was 97.5% (76/78 patients). All of the patients (76/76 patients) exhibited early clinical and laboratory improvement, and no emergency surgery was required. However, six patients underwent revisional surgery after 3 - 5 months for non-healing gastric leaks/fistulas. One patient had a major complication of active bleeding due to arterial injury;this was managed by transcatheter coil embolization. All patients underwent endoluminal stent placement and received antimicrobial therapy and nutritional support. Conclusion: Percutaneous CT-guided drainage of gastric leaks after sleeve gastrectomy is a safe, effective, and minimally invasive alternative to surgery. This technique is in line with other conservative measures (endoluminal stent placement, antimicrobial therapy, and nutritional support), which heal most gastric leaks due to sleeve gastrectomy and prevent the need for revisional surgery.
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篇名 Percutaneous CT-Guided Drainage of Gastric Leaks Post-Sleeve Gastrectomy
来源期刊 放射学期刊(英文) 学科 医学
关键词 PERCUTANEOUS Drainage CT-GUIDED Drainage Sleeve GASTRECTOMY GASTRIC LEAK
年,卷(期) 2020,(1) 所属期刊栏目
研究方向 页码范围 1-8
页数 8页 分类号 R73
字数 语种
DOI
五维指标
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研究主题发展历程
节点文献
PERCUTANEOUS
Drainage
CT-GUIDED
Drainage
Sleeve
GASTRECTOMY
GASTRIC
LEAK
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
放射学期刊(英文)
季刊
2164-3024
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
256
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0
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0
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