Role of endoscopic vacuum therapy, internal drainage, and stents for postbariatric leaks.

ABSTRACT:

Background and aims

Therapeutic endoscopy plays a major role in the management of postbariatric anastomotic leaks, offering an effective treatment alternative to repeated surgery. In recent years, management has been moving from bridging and closing the leak's orifice toward an approach that uses vacuum therapy or internal drainage. Our aim was to demonstrate different treatment options for the management of postbariatric leaks.

Methods

We describe 3 different endoscopic techniques for postbariatric leaks in 2 patients who had undergone Roux-en-Y gastric bypass (RYGB) and 1 patient who had undergone sleeve gastrectomy.

Results

The first patient had a 20-mm early post-RYGB leak with an intra-abdominal associated collection treated with 5 sessions of endoscopic vacuum t

SUBMITTER: Rodrigues-Pinto E 

PROVIDER: S-EPMC6831905 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature