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01-05-2017 | Letter to the Editor

Migration of an Endoscopic Double Pigtail Drain into the Abdominal Wall Placed as a Treatment of a Fistula Post Revisional Bariatric Surgery

Authors: Tarek Debs, Niccolo Petrucciani, Radwan Kassir, Geoffrey Vanbiervliet, Imed Ben Amor, Aline Myx Staccini, Eric Sejor, Jean Gugenheim

Published in: Obesity Surgery | Issue 5/2017

Excerpt

Laparoscopic Roux-en-Y gastric bypass (RYGB) is a commonly performed bariatric procedure for the surgical management of morbid obesity [1]. Weight regain and failure are more frequently encountered leading to an increase in revisional surgery [2‐4]. Reoperation is associated with an increased rate of complications. Staple line leak after revisional bariatric surgery is a more common and a more challenging complication to treat [3]. Endoscopic internal drainage with double pigtails has been shown to be effective [4]. However, physicians should be aware of the possible complications of this technique. …

Debs T, Petrucciani N, Kassir R, et al. Trends of bariatric surgery in France during the last 10 years: analysis of 267,466 procedures from 2005–2014. Surg Obes Relat Dis. 2016;12:1602–9.

Nguyen D, Dip F, Huaco JA, et al. Outcomes of revisional treatment modalities in non-complicated Roux-en-Y gastric bypass patients with weight regain. Obes Surg. 2015;25:928–34.CrossRefPubMed

Iannelli A, Schneck AS, Hébuterne X, et al. Gastric pouch resizing for Roux-en-Y gastric bypass failure in patients with a dilated pouch. Surg Obes Relat Dis. 2013;9:260–7.

Donatelli G, Dumont JL, Cereatti F, et al. Treatment of leaks following sleeve gastrectomy by endoscopic internal drainage (EID). Obes Surg. 2015;25:1293–301.CrossRefPubMed

Al-Bader I, Khoursheed M, Al Sharaf K, et al. Revisional laparoscopic gastric pouch resizing for inadequate weight loss after Roux-en-Y gastric bypass. Obes Surg. 2015;25:1103–8.

Csendes A, Braghetto I, León P, et al. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. J Gastrointest Surg. 2010;14:1343–8.

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Puig CA, Waked TM, Baron TH, et al. The role of endoscopic stents in the management of chronic anastomotic and staple line leaks and chronic strictures after bariatric surgery. Surg Obes Relat Dis. 2014;10:613–7.

Donatelli G, Airinei G, Poupardin E, et al. Double-pigtail stent migration invading the spleen: rare potentially fatal complication of endoscopic internal drainage for sleeve gastrectomy leak. Endoscopy. 2016;48(Suppl 1 UCTN):E74–5.PubMed

10.

Genser L, Pattou F, Caiazzo R. Splenic abscess with portal venous gas caused by intrasplenic migration of an endoscopic double pigtail drain as a treatment of post-sleeve gastrectomy fistula. Surg Obes Relat Dis. 2016;12:e1–3.CrossRefPubMed

Title: Migration of an Endoscopic Double Pigtail Drain into the Abdominal Wall Placed as a Treatment of a Fistula Post Revisional Bariatric Surgery
Authors: Tarek Debs
Niccolo Petrucciani
Radwan Kassir
Geoffrey Vanbiervliet
Imed Ben Amor
Aline Myx Staccini
Eric Sejor
Jean Gugenheim
Publication date: 01-05-2017
Publisher: Springer US
Published in: Obesity Surgery / Issue 5/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-2580-2

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Migration of an Endoscopic Double Pigtail Drain into the Abdominal Wall Placed as a Treatment of a Fistula Post Revisional Bariatric Surgery

Excerpt

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