ArticleObesity surgery2016
Impact of the Surgical Experience on Leak Rate After Laparoscopic Sleeve Gastrectomy.
Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis.Scientific reports · 2021Pooled it
- Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review.Surgical endoscopy · 2020Pooled it
- Early major complications after bariatric surgery in the USA, 2003-2014: a systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018Pooled it
- The three-tube method under fluoroscopy guidance for post-gastrectomy gastric fistula.Quantitative imaging in medicine and surgery · 2026Article
- Evaluation of complete gastric staple line bioabsorbable reinforcement during laparoscopic sleeve gastrectomy: a propensity score matched analysis.Updates in surgery · 2025Article
- Endoscopic vacuum therapy.iGIE : innovation, investigation and insights · 2024Article
- Bariatric surgery: trends in utilization, complications, conversions and revisions.Surgical endoscopy · 2024Article
- Impact of Helicobacter pylori Status on Postoperative Morbidities After Laparoscopic Sleeve Gastrectomy in an Endemic Region (a Retrospective Multicentric Study).Obesity surgery · 2024Article
- Classification of Slippage Following Laparoscopic BariClip Gastroplasty.Obesity surgery · 2023Article
- Uncommon Complication of a Biliary Leak After Adjustable Gastric Band Removal: A Case Report.Cureus · 2023Article
- Applications of endoscopic vacuum therapy in the upper gastrointestinal tract.World journal of gastrointestinal endoscopy · 2023Review
- Meta-analysis of patient risk factors associated with post-bariatric surgery leak.Obesity science & practice · 2023Article
- Is the Surgical Drainage Mandatory for Leak after Sleeve Gastrectomy?Journal of clinical medicine · 2023Article
- The clinical effectiveness of staple line reinforcement with different matrix used in surgery.Frontiers in bioengineering and biotechnology · 2023Review
- Prevalence, Predictors, and Management of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy: a Multicenter Cohort Study.Obesity surgery · 2022Article
- The Utility of Video Recording in Assessing Bariatric Surgery Complications.Journal of clinical medicine · 2022Article
- Bioabsorbable Glycolide Copolymer is Effective in Reducing Staple Line Bleeding in Sleeve Gastrectomy.Obesity surgery · 2022Article
- Role of Rendezvous-Procedure in the Treatment of Complications after Laparoscopic Sleeve Gastrectomy.Journal of clinical medicine · 2021Article
- Patrick Noel, FACS, FASMBS, Mediclinic Middle East, Dubai.Obesity surgery · 2021Article
- Roux-en-Y Gastric Bypass for the Treatment of Leak Following Sleeve Gastrectomy.Obesity surgery · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLaparoscopic sleeve gastrectomy (LSG) has become one of the most commonly performed bariatric procedures, largely due to several advantages it carries over more complex bariatric procedures. LSG is generally considered a straightforward procedure, but one of the major concerns is a staple line leak.
objectiveThe objectives of this study are to evaluate the correlation between surgeon's experience and leak rate and to assess the different risk factors for developing a gastric leak after LSG.
settingPrivate hospital, France.
methodsThe analysis of a single surgeon's yearly leak rate since the introduction of LSG for possible risk factors was done.
resultsA total of 2012 LSGs were performed in between September, 2005 and December, 2014. Twenty cases (1 %) of gastric leak were recorded. Of these, 17 patients were women (94.4 %) with a mean age of 39.4 years (range 22-61) and mean body mass index (BMI) 41.2 kg/m(2) (range 34.8-57.1). On a yearly basis, the leak rate was 4.8 % (2006), 5.7 % (2007), 0 (2008), 2.6 % (2009), 2 % (2010), 0.8 % (2011), 0.6 % (2012), 0.2 % (2013), and 0 (2014). In the first 1000 cases (group A), there were 18 cases of gastric leak and in the last 1000 cases, there were 800 with GORE® SEAMGUARD® Bioabsorbable Staple Line Reinforcement (group B) 2 cases of gastric leak (p = 0.009). A revisional LSG, 395 patients after gastric banding and 61 patients re-sleeve gastrectomy, was performed in 456 cases (22.7 %). There were 3 cases of leak (0.65 %). There were two deaths.
conclusionLSG can be performed with a low complication rate. This large series of a single surgeon's experience demonstrated that the leak rate after LSG could be significantly decreased over time with changes in techniques.
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