Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY
Hamidreza Goudarzi, Jacob R. Obney, Mahsa Hemmatizadeh, Taha Anbara
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Abstract

Introduction Endoscopic treatments have become popular by providing the best solution for healing complications while allowing oral nutrition. In this study, we aim to evaluate outcomes of the endoscopic-covered stents for staple line complications following bariatric surgery. Methods A prospective evaluation was performed for all patients treated for staple line complications after bariatric surgery. Bariatric patients with acute leaks, chronic gastrocutaneous fistulas, and anastomotic strictures refractory to endoscopic dilation after sleeve gastrectomy were included in this survey. Results From January 2019 to June 2020, 41 patients (12 with acute leaks, 16 with chronic fistulas, and 13 with strictures) were treated with endoscopic silicone-covered stents (polyester or nitinol). The mean follow-up was 3.5 months. Immediate symptomatic improvement occurred in 95.2% (91.7% of acute leaks, 81.2% of fistulas, and 92.3% of strictures). In addition, 87.8% of patients initiated oral feeding immediately after stenting. There was no mortality case in this population. Conclusion Although stent migration rarely occurs in subjects, the endoscopic silicone-covered stents strategy is one of the best treatments for anastomotic complications after bariatric surgery, providing rapid healing while simultaneously allowing for oral nutrition.
内镜下自膨胀金属支架置入治疗腹腔镜套筒胃切除术后并发症
介绍 内窥镜治疗在提供口腔营养的同时,为治疗并发症提供了最佳解决方案,因此越来越受欢迎。在这项研究中,我们的目的是评估内镜下覆膜支架治疗减肥手术后吻合管并发症的效果。方法 对所有接受减肥手术后吻合钉并发症治疗的患者进行了前瞻性评估。本研究纳入了患有急性胃瘘、慢性胃皮瘘和袖状胃切除术后内镜扩张难以治疗的吻合口狭窄的减肥患者。后果 从2019年1月到2020年6月,41名患者(12名急性瘘患者,16名慢性瘘患者,13名狭窄患者)接受了内镜下硅胶覆盖支架(聚酯或镍钛诺)治疗。平均随访3.5个月。95.2%的患者立即出现症状改善(91.7%的急性渗漏,81.2%的瘘管,92.3%的狭窄)。此外,87.8%的患者在支架植入后立即开始口服喂养。该人群中没有死亡病例。结论 尽管支架移位很少发生在受试者身上,但内镜下硅胶覆盖支架策略是治疗减肥手术后吻合口并发症的最佳方法之一,可以快速愈合,同时提供口腔营养。
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来源期刊
Journal of Digestive Endoscopy
Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
自引率
28.60%
发文量
35
审稿时长
22 weeks
期刊介绍: The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.
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