Open AccessMinimally invasive management of anastomotic leak after bariatric Roux-en-Y gastric bypass
Author(s) -
İlhan Ece,
Hüseyin Yılmaz,
Hüsnü Alptekin,
Fahrettin Acar,
Serdar Yormaz,
Mustafa Şahi̇n
Publication year - 2015
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.144094
Subject(s) - medicine , surgery , anastomosis , leak , sealant , dehiscence , fibrin , fibrin glue , roux en y anastomosis , gastric bypass , endoscopy , weight loss , obesity , chemistry , organic chemistry , environmental engineering , engineering , immunology
The aim of this retrospective study was to examine the anastomotic erosion due to drain and success of fibrin sealant in its management. Between 2013 and 2014, 102 patients underwent LRYGB and gastrojejunal anastomotic leak occurred due to drain erosion in 2 of them. The diagnosis was established with saliva drainage and was confirmed by upper gastrointestinal series. The absence of hemodynamic instability was directed us to conservative treatment. During the endoscopy, dehiscence was assessed and fibrin sealant was applied. The leaks healed progressively in a few days, and the drains removed within 6 days. Seven and 9 days later, the patients were discharged without any problem. Anastomotic leaks after bariatric surgery can cause severe morbidity, cost, and effects quality of life. Hemodynamically stable and drained patients are candidates for conservative methods. Endoscopic injection of fibrin sealant has been successful in closing gastric leaks.