ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010
Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 7 of them syntheses that pooled it.
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Who cites it
83 citing papers in PubMed, 7 syntheses or guidelines pooled it, 247 citations in OpenAlex.
- Endoscopic Treatment of Staple-Line Leaks After Sleeve Gastrectomy in Patients with Obesity: Which One is the Best Option, if Any? A Systematic Review with Meta-Analysis and Meta-regression.Obesity surgery · 2025Pooled it
- Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review.Surgical endoscopy · 2020Pooled it
- Management of Staple Line Leaks Following Sleeve Gastrectomy-a Systematic Review.Obesity surgery · 2019Pooled it
- Efficacy of Postoperative Upper Gastrointestinal Series (UGI) and Computed Tomography (CT) Scan in Bariatric Surgery: a Meta-analysis on 7516 Patients.Obesity surgery · 2018Pooled it
- Robotic sleeve gastrectomy: experience of 134 cases and comparison with a systematic review of the laparoscopic approach.Obesity surgery · 2013Pooled it
- Sleeve gastrectomy severe complications: is it always a reasonable surgical option?Obesity surgery · 2013Pooled it
- A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Comparison Between Stable Line Reinforcement by Barbed Suture and Non-reinforcement in Sleeve Gastrectomy: a Randomized Prospective Controlled Study.Obesity surgery · 2018Trial
- The three-tube method under fluoroscopy guidance for post-gastrectomy gastric fistula.Quantitative imaging in medicine and surgery · 2026Article
- Diagnostic value of routine fluoroscopy after sleeve gastrectomy: Accuracy, cost, and clinical implications.Medicine · 2026Article
- Assessment sleeve gastrectomy nurses' knowledge in surgical unit at Al-imam Hussein Medical city.Journal of education and health promotion · 2025Article
- Article
- Real-Time Perfusion and Leak Assessment in Bariatric Surgery: Bridging Traditional and Advanced Techniques.Cureus · 2024Review
- Assessment and Techniques for Endoscopic Closure.Clinics in colon and rectal surgery · 2024Review
- Treatment of Leakage Following Sleeve Gastrectomy by Laparo-Endoscopic Gastrostomy (LEG).Obesity surgery · 2024Article
- Long-Term Outcomes of Patients with Staple Line Leaks Following Sleeve Gastrectomy.Obesity surgery · 2024Article
- Routine Upper Gastrointestinal Series Post-bariatric Surgery: Predictors, Usage, and Utility.Obesity surgery · 2024Article
- Risk Factors and Management Approaches for Staple Line Leaks Following Sleeve Gastrectomy: A Single-Center Retrospective Study of 402 Patients.Journal of personalized medicine · 2023Article
- Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy.Journal of clinical medicine · 2023Review
- Is the Surgical Drainage Mandatory for Leak after Sleeve Gastrectomy?Journal of clinical medicine · 2023Article
23 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLaparoscopic sleeve gastrectomy (LSG) is a surgical procedure that is being increasingly performed on obese patients. The most frequent postoperative complication is the appearance of a gastric leak. PURPOSE: To determine the main clinical features of a group of patients who developed a gastric leak after LSG. MATERIAL: A total of 343 obese patients were submitted to LSG, two hundred and sixty-two women and 81 men with a mean age of 37.3 years and a BMI of 37.5 kg/m(2). Radiological evaluations were performed on all patients on the third day after surgery using liquid sulfate barium, as well as a close clinical control evaluation to monitor the appearance of epigastric pain, fever, tachycardia, C-reactive protein, and leukocytosis. Medical or surgical management of the leak were employed.
resultsFever was the earliest and most frequent symptom, followed by epigastric pain and tachycardia. Leaks were classified based on three parameters: severity or magnitude, location, and time of appearance after surgery. Leaks were classified as early if they appeared 1 to 4 days after surgery, intermediate if they appeared 5 to 9 days after surgery, and late 10 days after surgery. The diagnosis of a leak was confirmed with a barium liquid taken orally by six patients and with an abdominal CAT scan in ten. Surgical management was performed in eight patients, usually in those with early leaks (six patients). Early re-suturing in three patients was successful; however, re-suturing leaks after the third day resulted in failure. Medical management was performed mainly in patients with intermediate and late leaks, mainly through enteral nutrition and percutaneous drainage of the intra-abdominal fluid collection. There was no mortality. The mean healing days of these leaks was 45 days after surgery.
conclusionClose clinical observation detects gastric leaks early on inpatients who underwent LSG. We suggest evaluating these leaks based on three parameters: time of appearance, the location, and its severity, in order to propose the best medical or surgical treatment in these patients.
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