Prevention and Management of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy
Journal Title: Journal of Anesthesia and Surgery - Year 2018, Vol 5, Issue 1
Abstract
Laparoscopic Sleeve Gastrectomy LSG is gaining ground as a bariatric procedure with proven efficacy on weight loss and obesity-related comorbidities Compared to other bariatric procedures its complications can be even more severe Gastric leak is estimated to be the most serious complication of this procedure due to difficult healing processes not to mention the fact that it may also be responsible for local or general severe septic complications Staple line dehiscence and subsequent leaks following sleeve gastrectomy are not very frequent but are a difficult complication that can also become chronic Various options have been suggested but no definitive has been established emsp emsp The management of patients who develop leakages requires a multidisciplinary team Choosing the proper approach depends on the clinical condition of the patient and the onset time of leak Main aim of this paper is to provide an overview of the pathogenic and promoting factors of staple line leak following LSG on the basis of recent literature review and to report the evidence based preventive measures and treatment solutions of this life-threatening complication
Authors and Affiliations
Sotirios Botaitis
Keywords
Related Articles
- EP ID EP418847
- DOI 10.15436/2377-1364.18.1897
- Views 89
- Downloads 0
Does the Choice of Ketamine or Thiopentone as the Induction Agent for Rapid Sequence Induction in Trauma Affect Outcomes? A Retrospective Observational Pilot Study
Objectives: Injured patients requiring intubation usually undergo rapid sequence induction, which has the potential to exacerbate physiologic instability. This study aimed to identify the physiological characteristics an...
Helicobacter pylori - Protective or Causative Agent in Oesophageal Cancer?
Helicobacter pylori (H. pylori) is a helical shaped gram negative bacterium. This bacteria has been associated with a large number of benign and malignant conditions of upper gastro-intestinal tract, the common condition...
Pain Specialists Awareness of Topical Analgesics and Their Use in Pain Control: Survey Results
Background: Over-the-counter (OTC) topical analgesics are an important part of the armamentarium for pain management, but it was not clear if and to what extent prescribers discussed the option of topical analgesics with...
Management of the Airway in Transoral Robotic Surgery for Head and Neck Cancer
Aim of the study: To evaluate the safety and effectiveness of a conservative management of the airway without tracheotomy in a new transoral robotic surgery program for head and neck cancer. Materials and Method: Observa...
The Relationship between Post Operative Nausea and Vomitting (PONV) with Type of Eye Surgery with General Anesthesia
PONV is still the most common complaint by patients after undergoing surgery with general anesthesia PONV is not well understood and its treatment cannot be carried out completely yet However in recent years it has b...