Endoscopic vacuum therapy in salvage and standalone treatment of gastric leaks after bariatric surgery.

ABSTRACT:

Introduction

Gastric leaks constitute some of the most severe complications after obesity surgery. Resulting peritonitis can lead to inflammatory changes of the stomach wall and might necessitate drainage. The inflammatory changes make gastric leak treatment difficult. A common endoscopic approach of using stents causes the problem of inadequate leak sealing and the need for an external drainage. Based on promising results using endoscopic vacuum therapy (EVT) for esophageal leaks, we implemented this concept for gastric leak treatment after bariatric surgery (Ahrens et al., Endoscopy 42(9):693-698, 2010; Schniewind et al., Surg Endosc 27(10):3883-3890, 2013).

Methods

We retrospectively analyzed data of 31 gastric leaks after bariatric surgery. For leak therapy management, w

SUBMITTER: Markus A 

PROVIDER: S-EPMC9151560 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature