The role of endoprostheses in the treatment of leaks after laparoscopic sleeve gastrectomy. Analysis of a Spanish registry
Por:
Balague, C, Fernandez-Ananin, S, Ibarzabal, A, Paris, M, Vilallonga, R, Puche, JJ, de Adana, JCR
Publicada:
1 ago 2020
Resumen:
It has been suggested that endoprostheses are an effective treatment for fistulae after sleeve gastrectomy, but the results published are very variable. To analyze the effectiveness of stents as treatment of leakage after sleeve gastrectomy, the Spanish Society of Obesity Surgery (SECO) and the Obesity Division of the Spanish Association of Surgeons (AEC) set up a National Registry to record treatments of leaks after sleeve gastrectomy. We have analyzed patients with leaks after sleeve gastrectomy and treated with endoprostheses: 19 medical centers reported the use of endoprostheses, where 51 endoprostheses were used in 42 patients (34 women/8 men, mean age: 43.8 years, BMI: 47.6). Global effectiveness was 45%, with a complication rate of 35%. Uni- and multivariate analyses detected no factors influencing the efficacy of treatment. A larger diameter bouggie used to calibrate the stomach was related to a higher incidence of complications. No factors were found related with better stent efficacy. The effectiveness of a second stent was very low when the previous one had not been effective. (C) 2020 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Balague, C:
UAB, Hosp Santa Creu & St Pau, Serv Cirugia Gen & Digest, Barcelona, Spain
Fernandez-Ananin, S:
UAB, Hosp Santa Creu & St Pau, Serv Cirugia Gen & Digest, Barcelona, Spain
Ibarzabal, A:
UB, Hosp Clin, Serv Cirugia Gen & Digest, Barcelona, Spain
Paris, M:
Hosp St Joan Reus, Serv Cirugia Gen & Digest, Reus, Spain
Vilallonga, R:
UAB, Hosp Vall dHebron, Serv Cirugia Gen & Digest, Barcelona, Spain
Puche, JJ:
Hosp Gen Univ, Serv Cirugia Gen & Digest, Valencia, Spain
de Adana, JCR:
Hosp Univ Getafe, Serv Cirugia Gen & Digest, Getafe, Spain
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