Manejo exitoso de perforación gástrica secundaria a plicatura de curvatura mayor laparoscópica con gastrostomía endoscópica percutánea con avance yeyunal y sellador de fibrina

Arturo A. Sánchez-Valle, Alejandro Cruz-Zarate, Gabriela Rodríguez-Ruiz
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Abstract

Gastric leak, caused by staple line disruption or gastric perforation, is one of the most dreaded complications following bariatric surgery. The reported incidence of leakage varies depending on type of surgery, from 2.05% to 5.20% for Roux-en-Y gastric bypass, 5.1% in sleeve gastrectomy, and 1.4% in gastric plication. Minimally invasive management is currently recommended to minimise morbidity. The case is presented of a patient who suffered a gastric perforation following a laparoscopic greater curvature plication, with successful endoscopic management.

经皮内镜下空肠推进和纤维蛋白封闭剂胃造瘘成功治疗腹腔镜大曲率折叠术后胃穿孔
胃漏是由吻合钉断裂或胃穿孔引起的,是减肥手术后最可怕的并发症之一。据报道,渗漏的发生率因手术类型而异,Roux-en-Y胃旁路术为2.05%至5.20%,袖状胃切除术为5.1%,胃折叠术为1.4%。目前建议采用微创治疗以将发病率降至最低。该病例介绍了一名患者在腹腔镜大弯折术后发生胃穿孔,并成功地进行了内镜治疗。
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