scholarly journals Endoscopic Management of Staple Line Leak after Bariatric Surgery: Surgeon’s Perspective

2021 ◽  
Author(s):  
Yoona Chung ◽  
Dae Geun Park ◽  
Yong Jin Kim
Keyword(s):  
Bariatric Surgery ◽  
Staple Line ◽  
Endoscopic Management ◽  
Staple Line Leak

Economic Costs Associated with Bariatric Surgery Complications

2018 ◽  
Author(s):  
Eric S. Bour
Keyword(s):  
Bariatric Surgery ◽  
Staple Line ◽  
Surgical Complication ◽  
Cost Benefit ◽  
Surgery Complications ◽  
Economic Costs ◽  
Staple Line Leak ◽  
Bariatric Surgery Complications ◽  
The Cost ◽  
The Relationship

Surgical complications in bariatric procedures occur despite all efforts to minimize their incidence. This chapter examines the costs and expenses associated with four complications: bleeding, stricture, staple-line leak, and internal hernia. In addition, it defines the relationship between the expense of techniques designed to reduce the incidence of complications and the cost of caring for the patient who sustains a complication. Last, it explores the medicolegal and financial implications of any surgical complication in the changing healthcare landscape of the future. Through a better understanding these issues, surgeons should be able to tailor their practice by determining the cost/benefit and “value” of interventions used to prevent or treat complications.

Intraluminal indocyanine green for intraoperative staple line leak testing in bariatric surgery

2020 ◽  
Vol 34 (9) ◽  
pp. 4194-4199
Author(s):  
Christopher L. Kalmar ◽  
Christopher M. Reed ◽  
Curtis L. Peery ◽  
Arnold D. Salzberg
Keyword(s):  
Bariatric Surgery ◽  
Indocyanine Green ◽  
Staple Line ◽  
Staple Line Leak ◽  
Leak Testing

scholarly journals Endoscopic Management of Gastro-colic Fistula Following Leak from Laparoscopic Sleeve Gastrectomy

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Staple Line ◽  
Fistulous Tract ◽  
Balloon Dilation ◽  
Endoscopic Management ◽  
Oral Contrast ◽  
Imaging Studies ◽  
Staple Line Leak ◽  
Upper Abdominal

Laparoscopic sleeve gastrectomy (LSG) is a restrictive bariatric procedure effective for the management of morbid obesity. Staple line leak is the most feared complication after LSG and can present early or late following operation. Untreated, chronic staple line leak (>12 weeks) can lead to abscess formation, which in turn form a fistulous tract to adjacent epithelial lined structures. Herein, we present a case of gastro-colic fistula following leak from LSG treated at our department. A 49 years old male patient, presented 14 weeks after LSG to our emergency department with fever and upper abdominal pain. Imaging studies revealed intra-abdominal abscess between the stomach and the spleen with oral contrast leakage into the abscess cavity. An endoscopic evaluation revealed a fistula distal to the gastro-esophageal junction. Endoscopic management of the fistula done by over the scope clip (OTSC), which later failed. The patient re-admitted 12 weeks later and re-imaging studies showed a gastro-colic fistula and distal stenosis of the gastric sleeve. Endoscopic treatment was completed by OTSC closure of the fistula opening on the stomach side and hem clip closure of the fistula opening on the colon side. Also, fluoroscopically-guided endoscopic balloon dilation was done to treat distal stenosis. At 30 months follow up, the patient is doing well.

ENDOSCOPIC MANAGEMENT OF THE POST-OPERATIVE LEAKS AFTER A BARIATRIC SURGERY

2018 ◽  
Author(s):  
G Claudé ◽  
B Vedrenne ◽  
T Degand ◽  
P Claudé ◽  
JB Chevaux ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Endoscopic Management
Sign in / Sign up

Export Citation Format

Share Document