Open AccessStaple-line leak after sleve gastrectomy in obese patients: A hot topic in bariatric surgery
Author(s) -
Giuseppe Galloro,
Simona Ruggiero,
Teresa Russo,
Donato Alessandro Telesca,
Mario Musella,
Marco Milone,
Raffaele Manta
Publication year - 2015
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v7.i9.843
Subject(s) - medicine , leak , surgery , sleeve gastrectomy , stent , complication , general surgery , gastrectomy , weight loss , gastric bypass , cancer , obesity , environmental engineering , engineering
Laparoscopic sleeve gastrectomy is a surgical procedure that is being increasingly performed on obese patients. Among its complications, leaks are the most serious and life threatening. The placement of esophageal, covered, self-expandable metal stents in these cases has been performed by many authors but reports on the outcome of this procedure are limited and the technical aspects are not well defined. Stent migration is the main complication of the procedure and poses a challenge to the surgeon, with a limited number of options. Here we evaluate the technical and clinical outcome of a new, dedicated, self-expanding metal stent, comparing the advantages of this stent to those traditionally used to treat staple-line leak after sleeve gastrectomy. While published data are limited, they seem support the use of this kind of new stent as the best option for the stenting treatment of a staple-line leak after sleeve gastrectomy, over other kinds of stents. Further studies based on larger series are needed to better evaluate patient outcome.