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25-03-2022 | Sleeve Gastrectomy | Original Article

Non-stenting treatment versus endoscopic stent placement in staple line leaks after laparoscopic sleeve gastrectomy

Authors: Andreas Kiriakopoulos, Nefeli Kounatidis, Ilias Menenakos, Maria Kostrova, Konstantinos Zografos, Evangelos Menenakos

Published in: Langenbeck's Archives of Surgery | Issue 5/2022

Abstract

Purpose

Presentation of results of non-stenting treatment versus endoscopic stenting placement in gastric staple leaks after laparoscopic sleeve gastrectomy (LSG).

Methods

Between January 2007 and August 2020, 1371 eligible patients underwent LSG. After gastric leak detection, patients were classified into treatment groups A (endoscopic stent placement) and B (non-stenting management). Overall hospital stay, the time to complete gastric leak resolution and the incidence of further operative management constituted the main outcome measures. Statistical analysis included descriptive statistics and linear regression tests as needed.

Results

A total of 27 patients (19 F/8 M, median age: 44.8 years (range: 36–58) with median preoperative BMI: 43.5 kg/m² (range: 37.0–48.7)) presented with gastric staple line leak (1.9%) — mean detection day 5.8 postop (range: 1–12). Eight patients enrolled in group A and 19 patients in group B. The mean hospital stay for group A was 41.2 days (range: 24–60) versus 15 days (range: 12–18) for group B (p < 0.001). Complete leakage resolution was observed at mean 42.4 days (range 25–60) for group A and 34.5 days (range: 28–40) for group B patients, (p = 0.025). Only 2 group A patients accomplished complete leak resolution without additional intervention. Five group A patients (62.5%) versus 4 group B patients (21.1%) needed operative intervention during the treatment course (p = 0.037).

Conclusions

Conservative, non-stenting treatment of staple line leaks after LSG is feasible and is associated with superior results in terms of hospital say and leak resolution in comparison to endoscopic stenting.

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Title: Non-stenting treatment versus endoscopic stent placement in staple line leaks after laparoscopic sleeve gastrectomy
Authors: Andreas Kiriakopoulos
Nefeli Kounatidis
Ilias Menenakos
Maria Kostrova
Konstantinos Zografos
Evangelos Menenakos
Publication date: 25-03-2022
Publisher: Springer Berlin Heidelberg
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Published in: Langenbeck's Archives of Surgery / Issue 5/2022
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-022-02498-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Non-stenting treatment versus endoscopic stent placement in staple line leaks after laparoscopic sleeve gastrectomy

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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