Laparoscopic Roux limb placement for the management of chronic proximal fistulas after sleeve gastrectomy: technical aspects.
Surg Endosc
; 29(2): 414-6, 2015 Feb.
Article
em En
| MEDLINE
| ID: mdl-24993175
ABSTRACT
OBJECTIVE:
To describe the technical aspects of a laparoscopic Roux limb placement for the management of chronic proximal fistulas after laparoscopic sleeve gastrectomy (LSG). Laparoscopic Roux limb placement has been proposed as corrective strategy after LSG proximal leak.METHOD:
A retrospective chart and database review was conducted in our institution. From January 1, 2002 to May 30, 2013, 18 patients underwent a laparoscopic Roux limb placement on the defect for the treatment of a proximal chronic fistula. The aim of this article was to present the operative technique.RESULTS:
Eighteen patients who underwent laparoscopic Roux limb placement had undergone previous treatments including percutaneous drainage, endoscopic stenting of the fistula, and even percutaneous glue treatment. These patients had a chronic fistula and were admitted for a Roux limb placement of the fistula. The mean time for a chronic fistula to heal alter Roux limb placement was 13.5 ± 10.3 days, and the mean length of hospital stay was 18.4 ± 13.2.CONCLUSION:
Proximal leaks after LSG are relatively rare. However, a significant number become chronic. Laparoscopic placement of a Roux limb on the defect is a safe treatment. An accurate surgical technique should be done.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Anastomose em-Y de Roux
/
Fístula Esofágica
/
Laparoscopia
/
Junção Esofagogástrica
/
Gastrectomia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Surg Endosc
Assunto da revista:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Ano de publicação:
2015
Tipo de documento:
Article