Endoscopic Treatment of Post Vertical Gastrectomy Fistula: Septotomy Associated with Air Expansion of Incisura Angularis
نویسنده
چکیده
Treatment of gastric leaks met new challenges with sleeve gastrectomy, as exclusive bariatric surgery1. Mistakenly seen as simpler, many inexperienced surgeons in laparoscopic and bariatric surgery began its use in patients. Was recognized that these fistulas are difficult to treat requiring multiple endoscopic treatments, reoperation and gastric resection2,3,4. Using the same principle of septotomies performed in gastric bypass complications, this pioneering author used this method for cases of fistula of the esophagogastric angle and gastric body after vertical gastrectomy.
منابع مشابه
Endoscopic Approach for Major Complications of Bariatric Surgery
As lifestyle and diet patterns have become westernized in East Asia, the prevalence of obesity has rapidly increased. Bariatric surgeries, such as Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (LAGB), are considered the first-line treatment option in patients with severe obesity. However, postoperative complications have increased and the ...
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One of the specific complications associated with laparoscopic sleeve gastrectomy is sleeve stenosis. It takes place mostly at the incisura angularis. We describe a 17-year-old patient with a stricture of sleeve and symptoms of severe gastrointestinal obstruction immediately after surgery. The patient underwent relaparoscopy on the 21st postoperative day, followed by two sessions of endoscopic ...
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the gastrointestinal tract is a serious complication. A gastrocutaneous fistula after sleeve gastrectomy is difficult to treat, with a mortality rate of 85% following unsuccessful treatment [1]. These fistulas have been successfully managed with endoscopic fibrin sealing [2]. Preliminary experience with the over-the-scope clipping system (Ovesco, Tubingen, Germany) has shown the efficacy of thi...
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