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Obesity Surgery
Published in: Obesity Surgery 7/2015

01-07-2015 | Letter to the Editor

Outcome of Leaks After Sleeve Gastrectomy Based on a New Algorithm Addressing Leak Size and Gastric Stenosis

Authors: Gianfranco Donatelli, Jean-Marc Catheline, Jean-Loup Dumont, Bertrand Marie Vergeau, Thierry Tuszynski, Fabrizio Cereatti, Fausto Fiocca, Bruno Meduri

Published in: Obesity Surgery | Issue 7/2015

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Excerpt

We welcomed with great interest the masterpiece of Nedelcu et al. [1] concerning the outcome of leaks after laparoscopic sleeve gastrectomy (LSG) based on a new algorithm addressing leak size and gastric stenosis. The article stressed the importance of adopting this new algorithm in order to standardize leak management, thus reducing the number of endoscopic procedures. We agree with the authors about the use of endoscopic internal drainage (EID) by means of double pigtail to achieve complete healing. As already reported by our team [2], since March 2013, we adopted EID as the only endoscopic treatment in case of fistulas after LSG or gastric bypass, irrespective to leak size. …
Appendix
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Literature
1.
Nedelcu M, Manus T, Cotirlet A et al., Outcome Of Leaks After Sleeve Gastrectomy Based On A New Algorithm Adressing Leak Size And Gastric Stenosis. ObesSurgDOI 10.​1007/​s11695-014-1561-y
2.
Donatelli G, Ferretti S, Vergeau BM, et al. Endoscopic Internal drainage with enteral nutrition (EDEN) for treatment of leaks following sleeve gastrectomy. ObesSurg. 2014;24:1400–07.
3.
Rosenthal RJ. International Sleeve Gastrectomy Expert Panel Consensus statement: best practice guidelines based on experience of >12000 cases. SOARD. 2012;8:8–19.
4.
Alcaide N, Vargas-Garcia AL, Serna-Higuera C, et al. EUS-guided drainage of liver abscess by using a lumen-apposing metal stent (with video). GIE. 2013;78(6):941–2.
Metadata
Title
Outcome of Leaks After Sleeve Gastrectomy Based on a New Algorithm Addressing Leak Size and Gastric Stenosis
Authors
Gianfranco Donatelli
Jean-Marc Catheline
Jean-Loup Dumont
Bertrand Marie Vergeau
Thierry Tuszynski
Fabrizio Cereatti
Fausto Fiocca
Bruno Meduri
Publication date
01-07-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1697-4

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