Laparo-Endoscopic Gastrostomy (LEG) Decompression: a Novel One-Time Method of Management of Gastric Leaks Following Sleeve Gastrectomy

Obesity Surgery
Pulimuttil James ZachariahJun-Juin Tsou

Abstract

Leakage is the most feared and challenging complication following laparoscopic sleeve gastrectomy (LSG) as it can either be life-threatening or lead to major morbidity. Its management can be very complex. Endoscopic stents seem to be the mainstay of the current modality of treatment but are associated with a high rate of complications and also need supportive procedures for sepsis control and feeding. We aimed to approach this problem through a one-step intervention, achieving three objectives: a prolonged decompression of the gastric tube through a laparo-endoscopically placed gastrostomy, feeding jejunostomy and external drainage. Between 2014 January and March 2015, seven patients were managed for gastric leaks (post LSG) in our center by this novel approach. Their records were reviewed for details like prior operation, presence of comorbidities, if revisional surgery, day of presentation following surgery, intraoperative findings, post-op recovery, length of hospital stay, and time to heal. The results were tabulated and studied. Three were post primary LSG. Four were following revisional surgeries. Six out of seven (85.7 %) healed without alternative intervention. One patient with a large rent was managed by fistulojejunos...Continue Reading

References

May 13, 2008·Journal of the American College of Surgeons·Steve EubanksJames S Scott
Jun 7, 2008·Obesity Surgery·Ronit T YehoshuaMoshe Rubin
Apr 10, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·UNKNOWN ASMBS Clinical Issues Committee
Dec 17, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wei-Jei LeeYen-How Su
Feb 15, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wei-Jei LeeKong-Han Ser
Jan 18, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Raul J RosenthalNatan Zundel
Jul 4, 2012·Surgical Endoscopy·Nasser SakranAhmad Assalia
Dec 19, 2012·Journal of Minimal Access Surgery·Gianfranco DonatelliJacques Marescaux
Jan 31, 2014·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Gianluca RossettiTeresa Marra
Jun 18, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Giuseppe GalloroPietro Forestieri
Jul 1, 2014·World Journal of Gastroenterology : WJG·Rudolf MennigenMike G Laukoetter
May 13, 2015·Asian Journal of Surgery·Eng-Hong PokKin-Fah Chin

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Attila CsendesAna María Burgos
World Journal of Gastrointestinal Endoscopy
Caolan Walsh, Shahzeer Karmali
Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Peter F LalorRaul J Rosenthal
© 2021 Meta ULC. All rights reserved