Endoscopic strategies for the treatment of postbariatric surgery leaks and fistulas

Dilhana S. Badurdeen MD , Katherine Lamond MD , Alex Gandsas MD, MBA, FACS , Vivek Kumbhari MD
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引用次数: 2

Abstract

Obesity is fast becoming a worldwide epidemic. Bariatric surgery has gained acceptance as an outstanding procedure that provides clinically significant weight loss and metabolic outcomes. Despite improvement in technique and expertise, complications ensue. As the number of postbariatric surgery patients increase, it is crucial that one is able to identify and manage complications. In order to optimally manage these patients, one must be able to understand the postsurgical anatomy and physiology of the stomach. Herein, we discuss the most common sites of leaks after Roux-en-Y gastric bypass and sleeve gastrectomy. We propose a new and unique algorithm for management of sleeve gastrectomy leaks taking into consideration other factors that we feel contribute to successful healing and resolution.

内窥镜治疗减肥术后瘘漏的策略
肥胖正迅速成为一种世界性的流行病。减肥手术作为一种出色的手术已经被接受,它提供了临床显著的体重减轻和代谢结果。尽管技术和专业知识有所提高,但并发症随之而来。随着减肥手术后患者数量的增加,能够识别和处理并发症是至关重要的。为了更好地治疗这些病人,我们必须了解胃的术后解剖学和生理学。在此,我们讨论Roux-en-Y胃旁路术和袖式胃切除术后最常见的泄漏部位。我们提出了一个新的和独特的算法来管理袖胃切除术泄漏考虑到其他因素,我们认为有助于成功愈合和解决。
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来源期刊
Techniques in Gastrointestinal Endoscopy
Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
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期刊介绍: The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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