ArticleObesity surgery2021
Challenges in the Diagnosis of Leak After Sleeve Gastrectomy: Clinical Presentation, Laboratory, and Radiological Findings.
Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis.Obesity surgery · 2024Pooled it
- Article
- Comparison of fibrin glue posterior fixation and omentopexy in laparoscopic sleeve gastrectomy: a propensity score-matched analysis.Updates in surgery · 2026Article
- Chronic gastro-diaphragmatic fistula following sleeve gastrectomy: a diagnostic and therapeutic dilemma.Journal of surgical case reports · 2026Article
- Endoluminal Vacuum Therapy as Effective Treatment for Patients with Postoperative Leakage After Metabolic Bariatric Surgery-A Single-Center Experience.Obesity surgery · 2024Article
- Is Routine Post-operative Biological Laboratory Assessment Necessary After Sleeve Gastrectomy?Obesity surgery · 2024Article
- Factors influencing quality of life in early-stage upper gastrointestinal cancer patients in Nanchong city: a qualitative study.American journal of translational research · 2024Article
- Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy.Journal of clinical medicine · 2023Review
- Leak after sleeve gastrectomy with positive intraoperative indocyanine green test: Avoidable scenario?International journal of surgery case reports · 2022Article
- The Relationship Between Tachycardia After Laparoscopic Sleeve Gastrectomy and the Development of Postoperative Complications.Obesity surgery · 2022Article
- Article
- Plain X-ray findings of post sleeve gastrectomy gastric leak.Journal of clinical imaging science · 2022Article
- Staple line reinforcement with nebulized cyanoacrylate glue in laparoscopic sleeve gastrectomy: A propensity score-matched study.Open medicine (Warsaw, Poland) · 2022Article
- Drain Amylase Levels in the Early Diagnosis of Gastric Leak after Laparoscopic Sleeve Gastrectomy.Medical principles and practice : international journal of the Kuwait University, Health Science CentreObservational
- Multidisciplinary Management in the Diabetes Reversal Clinic Promotes Diabetes Remission.AACE endocrinology and diabetesArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe presentation of leak after laparoscopic sleeve gastrectomy (LSG) is variable. A missed or delayed diagnosis can lead to severe consequences. This study presents our experience: the clinical presentations, laboratory, and radiological findings in patients with leak after LSG.
methodsA retrospective review of patients who were diagnosed and treated as leak after LSG at our center (January 2012-November 2019).
resultsEighty patients developed leak: 68 (85%) after primary LSG, 6 (7.5%) after Re-LSG and 6 (7.5%) after band removal to revisional LSG. Mean age 35.9 ± 10 years. The diagnosis was within 18 ± 14 days after surgery. Five (6.3%) patients were diagnosed during the same admission. Only 29.3% of patients were diagnosed correctly from the first visit to the ER. Most were misdiagnosed as gastritis (49%) and pneumonia (22.6%). Thirty-four patients (45.3%) were diagnosed correctly at the third visit. The most common presenting symptoms were abdominal pain (90%), tachycardia (71.3%), and fever (61.3%). The mean white blood cells (WBCs) count was 14700 ± 5900 (cells/mm
conclusionAbdominal pain, tachycardia, or fever after LSG should raise the suspicion of a leak. CT scan of the abdomen and UGIC study detected leaks in 75% and 77.5% consecutively. Only 29.3% of patients were diagnosed correctly as a leak from the first visit to the ER.
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