Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy

Review Orthopedics

Effect of omentopexy/gastropexy on gastrointestinal symptoms after laparoscopic sleeve gastrectomy: A meta-analysis of randomized controlled trials and systematic review

Qian-Long Wu et al.

Summary: This meta-analysis analyzed 13 studies and found that adding omentopexy or gastropexy after LSG can reduce the incidence of gastrointestinal symptoms and promote weight loss in obese individuals.

ASIAN JOURNAL OF ENDOSCOPIC SURGERY (2023)

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Article Surgery

Techniques for Percutaneous Transesophageal Gastro-tubing in the Management of Gastric Leak or Dysphasia After Sleeve Gastrectomy

Takashi Oshiro et al.

OBESITY SURGERY (2022)

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Article Surgery

Endoscopic Stent Placement Can Successfully Treat Gastric Leak Following Laparoscopic Sleeve Gastrectomy If and Only If an Esophagoduodenal Megastent Is Used

Franck Billmann et al.

Summary: Stent therapy is effective and safe for treating GL after LSG only if a MS is used, with MS showing higher success rates, fewer endoscopies needed, shorter time to resume oral nutrition, and potentially shorter hospitalization duration.

OBESITY SURGERY (2022)

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Article Endocrinology & Metabolism

Metabolic surgery in treatment of obese Japanese patients with type 2 diabetes: a joint consensus statement from the Japanese Society for Treatment of Obesity, the Japan Diabetes Society, and the Japan Society for the Study of Obesity

Akira Sasaki et al.

Summary: The joint committee formed by Japanese societies developed a consensus statement for bariatric and metabolic surgery in treating T2D patients. The statement, announced in 2021, is based on Japanese data and includes two recommendation grades, aiming to provide high-quality care.

DIABETOLOGY INTERNATIONAL (2022)

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Article Surgery

Challenges in the Diagnosis of Leak After Sleeve Gastrectomy: Clinical Presentation, Laboratory, and Radiological Findings

Mohammad Al Zoubi et al.

Summary: Symptoms such as abdominal pain, tachycardia, or fever after LSG should raise suspicion of a leak. CT scan of the abdomen and UGIC study have high sensitivity for detecting leaks. Some patients are easily misdiagnosed during the medical visit process, highlighting the importance of improving accuracy in leak diagnosis.

OBESITY SURGERY (2021)

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Article Surgery

Gastric Fistula After Sleeve Gastrectomy: Clinical Features and Treatment Options

Alvaro A. B. Ferraz et al.

Summary: This retrospective study on gastric fistula cases post-SG found that both surgical and endoscopic treatments were safe and effective, with a low rate of complications. The time of onset of fistulas did not significantly impact patient outcomes.

OBESITY SURGERY (2021)

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Review Surgery

Current Status and Issues Associated with Bariatric and Metabolic Surgeries in Japan

Takashi Oshiro et al.

Summary: Despite the high prevalence of potential patients with obesity and diabetes in Japan, the incorporation of bariatric surgeries into treatment regimens has been stalled for decades. While the Japanese national health insurance system ensures fair healthcare delivery, it may have hindered the development of bariatric and metabolic surgeries.

OBESITY SURGERY (2021)

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Article Orthopedics

Current status of laparoscopic bariatric/metabolic surgery in Japan: The sixth nationwide survey by the Japan Consortium of Obesity and Metabolic Surgery

Masayuki Ohta et al.

Summary: The nationwide survey in Japan showcased the safe and effective performance of laparoscopic bariatric/metabolic surgery for 20 years. LSG was the most popular procedure, while LSG-DJB and LRYGB also demonstrated favorable outcomes. However, there were higher rates of complications and reoperations seen in some cases of LRYGB.

ASIAN JOURNAL OF ENDOSCOPIC SURGERY (2021)

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Article Surgery