Rami Archid1, Dörte Wichmann2, Wilfried Klingert1, Giorgi Nadiradze1, Felix Hönes1, Nicole Archid1, Ahmed E Othman3, Suhaib J S Ahmad4, Alfred Königsrainer1, Jessica Lange1. 1. Department for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany. 2. Department for General, Visceral and Transplant Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany. doerte.wichmann@med.uni-tuebingen.de. 3. Department for Diagnostic and Interventional Radiology, Eberhard-Karls-University Hospital Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany. 4. School of Medicine, University of Buckingham, Buckingham, MK18 1EG, UK.
Abstract
PURPOSE: Management of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks. MATERIALS AND METHODS: Eight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed. RESULTS: During the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 ± 8.6 days of EVT, 3.3 ± 2.2 endoscopies, and 19 ± 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%). CONCLUSIONS: EVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.
PURPOSE: Management of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks. MATERIALS AND METHODS: Eight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed. RESULTS: During the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 ± 8.6 days of EVT, 3.3 ± 2.2 endoscopies, and 19 ± 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%). CONCLUSIONS: EVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.
Authors: Gunnar Loske; Frank Rucktäschel; Tobias Schorsch; Vera van Ackeren; Bettina Stark; Christian T Müller Journal: Endoscopy Date: 2015-12-09 Impact factor: 10.093
Authors: Fabian Schmidt; Rudolf Mennigen; Thorsten Vowinkel; Philipp A Neumann; Norbert Senninger; Daniel Palmes; Mike G Laukoetter Journal: Obes Surg Date: 2017-09 Impact factor: 4.129
Authors: Mike G Laukoetter; Rudolf Mennigen; Philipp A Neumann; Sameer Dhayat; Gabriele Horst; Daniel Palmes; Norbert Senninger; Thorsten Vowinkel Journal: Surg Endosc Date: 2016-10-05 Impact factor: 4.584