Reinhard Mittermair1, Robert Sucher2, Alexander Perathoner2, Heinz Wykypiel2. 1. Department of Visceral, Transplant and Thoracic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria. Electronic address: reinhard.mittermair@aon.at. 2. Department of Visceral, Transplant and Thoracic Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria.
Abstract
BACKGROUND: Laparoscopic sleeve gastrectomy has gained popularity among bariatric surgeons. The purpose of this study was to evaluate the usefulness of early upper gastrointestinal (UGI) contrast studies in the detection of postoperative complications. METHODS: Radiographic reports were reviewed from April 2006 to January 2013. During that time, 161 patients underwent laparoscopic sleeve gastrectomy. All patients were submitted to UGI examination on postoperative day (POD) 1. RESULTS: Among the 161 patients who underwent UGI, no contrast leaks were found on POD 1. Three patients (1.9%) developed stapler line leaks near the gastroesophageal junction, which were diagnosed on PODs 3, 4, and 10. Gastroesophageal reflux in 5 patients (3.1%) and delayed gastroesophageal transit in 10 patients (6.2%) were detected. CONCLUSIONS: The results of this study show that UGI series on POD 1 cannot assess the integrity of the gastric remnant. Early UGI series are not required as routine procedures in all operated patients. Computed tomographic swallow studies should be performed in patients who postoperatively develop clinical signs and symptoms of complications such as tachycardia, pain, or fever.
BACKGROUND: Laparoscopic sleeve gastrectomy has gained popularity among bariatric surgeons. The purpose of this study was to evaluate the usefulness of early upper gastrointestinal (UGI) contrast studies in the detection of postoperative complications. METHODS: Radiographic reports were reviewed from April 2006 to January 2013. During that time, 161 patients underwent laparoscopic sleeve gastrectomy. All patients were submitted to UGI examination on postoperative day (POD) 1. RESULTS: Among the 161 patients who underwent UGI, no contrast leaks were found on POD 1. Three patients (1.9%) developed stapler line leaks near the gastroesophageal junction, which were diagnosed on PODs 3, 4, and 10. Gastroesophageal reflux in 5 patients (3.1%) and delayed gastroesophageal transit in 10 patients (6.2%) were detected. CONCLUSIONS: The results of this study show that UGI series on POD 1 cannot assess the integrity of the gastric remnant. Early UGI series are not required as routine procedures in all operated patients. Computed tomographic swallow studies should be performed in patients who postoperatively develop clinical signs and symptoms of complications such as tachycardia, pain, or fever.
Authors: Monica Sethi; Jonathan Zagzag; Karan Patel; Melissa Magrath; Eduardo Somoza; Manish S Parikh; John K Saunders; Aku Ude-Welcome; Bradley F Schwack; Marina S Kurian; George A Fielding; Christine J Ren-Fielding Journal: Surg Endosc Date: 2015-06-20 Impact factor: 4.584
Authors: Max Meneveau; J Hunter Mehaffey; Peter D Adams; Florence E Turrentine; Bruce Schirmer; Peter T Hallowell Journal: Obes Surg Date: 2019-06 Impact factor: 4.129
Authors: Benjamin Struecker; Sascha Chopra; Ann-Christin Heilmann; Johanna Spenke; Christian Denecke; Igor M Sauer; Marcus Bahra; Johann Pratschke; Andreas Andreou; Matthias Biebl Journal: J Gastrointest Surg Date: 2017-02-15 Impact factor: 3.452
Authors: Dimitry Terterov; Philemon Ho-Yan Leung; Laurie K Twells; Deborah M Gregory; Chris Smith; Darrell Boone; David Pace Journal: Can J Surg Date: 2017-09 Impact factor: 2.089
Authors: Małgorzata Deręgowska-Cylke; Piotr Palczewski; Marcin Błaż; Radosław Cylke; Paweł Ziemiański; Wojciech Szeszkowski; Wojciech Lisik; Marek Gołębiowski Journal: Obes Surg Date: 2021-11-19 Impact factor: 3.479