Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP)
المؤلفون المشاركون
Baena, Juan Antonio
Gonzalez, Oscar
Armengol, Manuel
Salord, Josè
Fort, José Manuel
Lecube, Albert
Vilallonga, Ramon
Armengol-Miró, Josep Ramon
المصدر
Diagnostic and Therapeutic Endoscopy
العدد
المجلد 2010، العدد 2010 (31 ديسمبر/كانون الأول 2010)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2010-06-20
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Drain inclusion inside the gastric pouch is rare and can represent an important source of morbidity and mortality associated with laparocopic Roux-en-Y gastric bypass (LRYGBP).
These leaks can become chronic and challenging.
Surgical options are often unsuccessful.
We present the endoscopic management of four patients with drain inclusion.
Patients.
All four obese morbidly patients underwent LRYGBP and presented a gastro-jejunal fistula after acute anastomotic leakage.
During follow-up endoscopy the drain was found inside the gastric pouch.
It was moved into the abdominal cavity.
Fistula debit reduced significantly and closed.
Results.
Gastric leak closure in less than 24 hours was achieved in all, with complete resolution of symptoms.
These patients benefited exclusively from endoscopic treatment.
Conclusions.
Endoscopy is useful and technically feasible in chronic fistulas.
This procedure is a less invasive alternative to traditional surgical revision.
Other therapeutic strategies can be used such as clips and fibrin glue.
Drains should not be placed in contact with the anastomosis or stapled lines.
Drain inclusion must be suspected when fistula debit suddenly arises.
If so, endoscopy is indicated for diagnostic accuracy.
Under endoscopy vision, the drain is gently removed from the gastric reservoir leading to sudden and complete resolution of the fistula.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Vilallonga, Ramon& Fort, José Manuel& Gonzalez, Oscar& Baena, Juan Antonio& Lecube, Albert& Salord, Josè…[et al.]. 2010. Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP). Diagnostic and Therapeutic Endoscopy،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-505823
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Vilallonga, Ramon…[et al.]. Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP). Diagnostic and Therapeutic Endoscopy No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-505823
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Vilallonga, Ramon& Fort, José Manuel& Gonzalez, Oscar& Baena, Juan Antonio& Lecube, Albert& Salord, Josè…[et al.]. Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP). Diagnostic and Therapeutic Endoscopy. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-505823
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-505823
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر