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Endolumenal Vacuum Therapy and Fistulojejunostomy in the Management of Sleeve Gastrectomy Staple Line Leaks
Joint Authors
Szymanski, Kyle
Ontiveros, Estrellita
Burdick, James S.
Davis, Daniel
Leeds, Steven G.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-04
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery performed for morbid obesity.
Leaks of the vertical staple line can occur in up to 7% of cases and are difficult to manage.
Endolumenal vacuum (EVAC) therapy and fistulojejunostomy (FJ) have separate documented uses to heal these complicated leaks.
We aim to show the benefit of using EVAC with FJ in the treatment of LSG staple line leaks.
The patient presented with an LSG chronic leak.
EVAC therapy was initiated but failed to close the fistula after 101 days.
EVAC therapy was abandoned, and FJ was performed to resolve the leak.
Postoperatively, no leak was encountered requiring any additional procedures.
Based on our findings, we conclude that EVAC therapy facilitates in resolving leaks that restore gastrointestinal continuity and maintain source control.
It promotes healing and causes reperfusion of ischemic tissue and fistula cavity debridement.
American Psychological Association (APA)
Szymanski, Kyle& Ontiveros, Estrellita& Burdick, James S.& Davis, Daniel& Leeds, Steven G.. 2018. Endolumenal Vacuum Therapy and Fistulojejunostomy in the Management of Sleeve Gastrectomy Staple Line Leaks. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1150313
Modern Language Association (MLA)
Szymanski, Kyle…[et al.]. Endolumenal Vacuum Therapy and Fistulojejunostomy in the Management of Sleeve Gastrectomy Staple Line Leaks. Case Reports in Surgery No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1150313
American Medical Association (AMA)
Szymanski, Kyle& Ontiveros, Estrellita& Burdick, James S.& Davis, Daniel& Leeds, Steven G.. Endolumenal Vacuum Therapy and Fistulojejunostomy in the Management of Sleeve Gastrectomy Staple Line Leaks. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1150313
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150313