Management of anastomotic leaks after Roux-en-Y bypass using self-expanding polyester stents

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Christopher A EdwardsJames S Scott

Abstract

To analyze the outcomes of a series of endoscopically placed polyester self-expanding polyflex stents (SEPSs) for the management of anastomotic leaks after Roux-en-Y bypass. Anastomotic leaks after gastric bypass cause significant morbidity and mortality. Covered polyester SEPSs might have a role in the treatment of these leaks. A retrospective chart review was performed from January 2006 to November 2006 that included all acute and chronic leaks treated with SEPSs. A total of 6 patients were treated with stents, with a mean procedure time of 22 minutes. Of these 6 patients, 5 had acute postoperative leaks and 1 had a chronic fistula. Five patients started oral intake 1-6 days after their procedure. All acute leaks had complete healing at a median of 44 days. The patient with a chronic gastrocutaneous fistula required revisional surgery for fistula closure. In addition, 5 patients had stent migration, and 3 required stent replacement. An endoscopically placed SEPS provides a less-invasive alternative to treat acute anastomotic leaks after Roux-en-Y bypass while simultaneously allowing oral intake. The results of this case series have demonstrated this treatment to be safe and effective.

References

Oct 20, 2004·Annals of Surgery·Michael HünerbeinPeter M Schlag
Dec 18, 2004·Obesity Surgery·Randal S BakerMatt Serveld
Feb 1, 2005·The Annals of Thoracic Surgery·Felix B LangerJohannes Zacherl
Oct 4, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Alberto SalinasHarry Salinas
Dec 26, 2006·Journal of the American College of Surgeons·Rodrigo GonzalezMichel M Murr
Jan 2, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Royd FukumotoJulio Teixeira

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Citations

Dec 19, 2012·Journal of Minimal Access Surgery·Gianfranco DonatelliJacques Marescaux
Mar 23, 2013·Langenbeck's Archives of Surgery·Fabio Cesare CampanileGianfranco Silecchia
Nov 4, 2011·Gastrointestinal Endoscopy·Srinivas R PuliChristopher C Thompson
Jul 30, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Panot YimcharoenBipan Chand
Mar 2, 2016·Therapeutic Advances in Gastroenterology·Fabrizio CereattiGianfranco Donatelli
Aug 16, 2017·The American Journal of Gastroenterology·Allison R Schulman, Christopher C Thompson
Nov 12, 2017·Current Treatment Options in Gastroenterology·Allison R Schulman, Christopher C Thompson
Aug 28, 2013·Surgical Innovation·Neil H Bhayani, Lee L Swanström
Feb 19, 2014·The British Journal of Surgery·H J JacobsenH Gislason
Mar 26, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·K Thaler
Apr 12, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Pascale MerckyMarc Barthet
Dec 23, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marius NedelcuRamon Vilallonga
Oct 25, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Gianfranco DonatelliMarius Nedelcu
Dec 30, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Esteban Fuentes-ValenzuelaManuel Pérez-Miranda

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