Skip to main content
Top
Published in: Obesity Surgery 6/2018

01-06-2018 | Review Article

Efficacy and Safety of Stents in the Treatment of Fistula After Bariatric Surgery: a Systematic Review and Meta-analysis

Authors: Ossamu Okazaki, Wanderley M. Bernardo, Vitor O. Brunaldi, Cesar C. de Clemente Junior, Maurício K. Minata, Diogo T. H. de Moura, Thiago F. de Souza, Josemberg Marins Campos, Marco Aurélio Santo, Eduardo G. H. de Moura

Published in: Obesity Surgery | Issue 6/2018

Login to get access

Abstract

Fistula development is a serious complication after bariatric surgery. We performed a systematic review and meta-analysis to assess the efficacy of fistula closure and complications associated with endoscopic stent treatment of fistulas, developed after bariatric surgeries, particularly Roux-en-Y gastric bypass (RYGB) and gastric sleeve (GS). Studies involving patients with fistula after RYGB or GS and those who received stent treatment only were selected. The analyzed outcomes were overall success rate of fistula closure, mean number of stents per patient, mean stent dwelling time, and procedure-associated complications. Current evidence from identified studies demonstrates that, in selected patients, endoscopic stent treatment of fistulas after GS or RYGB can be safe and effective.
Literature
2.
go back to reference Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, Nadolsky K, Pessah-Pollack R, Plodkowski R, Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesityexecutive summarycomplete guidelines available at https://www.aace.com/publications. Endocr Pract 2016;22(7):842–884. https://doi.org/10.4158/EP161356.ESGL. Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, Nadolsky K, Pessah-Pollack R, Plodkowski R, Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesityexecutive summarycomplete guidelines available at https://​www.​aace.​com/​publications. Endocr Pract 2016;22(7):842–884. https://​doi.​org/​10.​4158/​EP161356.​ESGL.​
45.
go back to reference Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT. Complications after laparoscopic gastric bypass. 2006;138. Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT. Complications after laparoscopic gastric bypass. 2006;138.
Metadata
Title
Efficacy and Safety of Stents in the Treatment of Fistula After Bariatric Surgery: a Systematic Review and Meta-analysis
Authors
Ossamu Okazaki
Wanderley M. Bernardo
Vitor O. Brunaldi
Cesar C. de Clemente Junior
Maurício K. Minata
Diogo T. H. de Moura
Thiago F. de Souza
Josemberg Marins Campos
Marco Aurélio Santo
Eduardo G. H. de Moura
Publication date
01-06-2018
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3236-6

Other articles of this Issue 6/2018

Obesity Surgery 6/2018 Go to the issue