Journal
TURKISH JOURNAL OF GASTROENTEROLOGY
Volume 33, Issue 1, Pages 8-18Publisher
AVES
DOI: 10.5152/tjg.2021.19864
Keywords
Laparoscopic sleeve gastrectomy; leak; stent
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This study retrospectively reviewed the data of 15 patients who experienced leaks after LSG surgery. The results showed that in some cases, nonoperative treatments such as stent insertion and percutaneous drainage can effectively treat LSG leaks and reduce the length of hospital stay for patients.
Background: Laparoscopic sleeve gastrectomy (LSG) is a frequently performed operation. Leaks are formidable complications; however, the optimal management of these leaks is controversial. Methods: We retrospectively reviewed the medical records of 15 patients referred to our tertiary center between 2012 and 2016 with leaks after LSG. Results: In 12 patients with whom ongoing leaks were identified, stents were inserted with the intent of definitive therapy. In addition to attempts at source control, percutaneous drainage was carried out for intraabdominal collection in 9 patients and pleural effusion in 4 patients. The length of stay in the intensive care unit was significantly shorter in patients referred earlier or in those without any intervention. Conclusion: LSG leaks can be treated nonoperatively in well-organized centers under meticulously designed protocols, depending on the clinical condition of the patient.
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