ArticleSurgical endoscopy2018
Endoscopic treatment of leaks after laparoscopic sleeve gastrectomy using MEGA esophageal covered stents.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 35 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
- Stent Management of Leaks After Bariatric Surgery: a Systematic Review and Meta-analysis.Obesity surgery · 2022Pooled it
- Customized bariatric stents for sleeve gastrectomy leak: are they superior to conventional esophageal stents? A systematic review and proportion meta-analysis.Surgical endoscopy · 2021Pooled it
- Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Management of Staple Line Leaks Following Sleeve Gastrectomy-a Systematic Review.Obesity surgery · 2019Pooled it
- Niti-S Esophageal Mega-Stent: An Emerging Endoscopic Tool with Different Applications in the Management of Surgical Anastomotic Leaks.GE Portuguese journal of gastroenterology · 2023Article
- Endoscopic Stent Placement Can Successfully Treat Gastric Leak Following Laparoscopic Sleeve Gastrectomy If and Only If an Esophagoduodenal Megastent Is Used.Obesity surgery · 2022Article
- Endoscopic Septotomy as a Treatment for Chronic Leak after Laparoscopic Sleeve Gastrectomy.Journal of metabolic and bariatric surgery · 2021Article
- Endoscopic closure of jejunal perforation in altered anatomy using a detachable endoloop.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2020Article
- Outcome and Adverse Events of Endoscopic Bariatric Stents for Management of Leakage after Bariatric Surgery.Obesity surgery · 2020Article
- Endoscopic septotomy as a treatment for leaks after sleeve gastrectomy: Meeting presentations: Digestive Disease Week 2019.Endoscopy international open · 2020Article
- Management of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Endoscopic Management of Post-Laparoscopic Sleeve Gastrectomy Leakage and Stenosis Using Fully Covered Stent.Saudi journal of medicine & medical sciencesArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSleeve gastrectomy has become one of the main bariatric procedures over the last few years. This can be explained by the relative simplicity and high effectiveness of this method. Yet, it causes complications as any other method. Staple line leaks are the most frequent ones. According to different sources, this complication may occur with 0-7% frequency. Until 2013, surgery was the only effective treatment method for this complication. However, reoperations considerably increased treatment cost and patient morbidity. The aim of this study is to present the possibilities of endoscopic treatment of leaks after laparoscopic sleeve gastrectomy.
methodsFrom 2014 to 2016 14, cases of leaks following sleeve gastrectomy were diagnosed in our Department in Łódź. All of them were treated with MEGA stent in order to cover the leak site. Due to severe peritonitis, 3 patients had to undergo surgery prior to implantation of the prosthesis. Another patient underwent an unsuccessful attempt of leak closing via OTSC method prior to implantation of the prosthesis. Patients were nourished from the 3rd day after the surgery. On average, prostheses were removed on the 34th day after the implantation.
resultsThe leak was fully sealed in 13 out of 14 cases. In 10 cases the leak was fully healed. There were 2 cases of patients' deaths: the result of a multi-organ failure in one case and early esophageal perforation in the other one. The overall success rate was 90.9%.
conclusionSealing leaks occurring after sleeve gastrectomy with MEGA stents represent an effective method and should become the technique of choice.
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