Abstract:
:Sleeve gastrectomy is currently the most frequently performed bariatric surgery. Postoperative leaks represent the main cause of morbidity in up to 8% of patients with a mortality rate ranging between 0.1 and 5%. However, management of these leaks remains controversial. We report the case of a patient presenting with sepsis 2 weeks after surgery. A subphrenic collection and a leak were found on CT. Despite medical treatment, the patient did not show clinical improvement. Hence, we considered a transgastric endosonographic-guided drainage of the collection using an electrocautery-enhanced lumen-apposing metal stent (LAMS). The procedure underwent uneventfully, and the patient status improved rapidly. Two weeks later, the stent was withdrawn. A follow-up endoscopy 6 weeks later showed closure of the gastric wall defect.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Machlab S,Pascua-Solé M,Hernández L,Lira A,Vives J,Pedregal P,Luna A,Junquera Fdoi
10.1007/s11695-020-04553-wsubject
Has Abstractpub_date
2020-08-01 00:00:00pages
3236-3238issue
8eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-04553-wjournal_volume
30pub_type
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