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Resolution of an esophageal leak and posterior gastric wall necrosis with esophageal self-expandable metal stents 被引量:1

Resolution of an esophageal leak and posterior gastric wall necrosis with esophageal self-expandable metal stents
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摘要 The use of weight reduction surgeries has increased over the years with a higher proportion of these surgeries being sleeve gastrectomies,this has been associated with some complications including staple line leaks.We report a 32-year-old male who had undergone a laparoscopic gastric band surgery and subsequently a laparoscopic sleeve gastrectomy,this was complicated by both an staple line leak at the gastroesophageal junction as well as a large(> 4 cm) posterior gastric wall defect due to gastric wall necrosis. We used two co-axially inserted self-expandable stents(SEMS) in the management of this patient,5 stents were used over repeated endoscopy sessions and 20 wk. Both defects had resolved without the need for surgical intervention.This is the first reported case were SEMS are used for both a staple line leak as well as a gastric wall defect.We also review the literature on the use of SEMS in the management of leaks post weight reduction surgeries. The use of weight reduction surgeries has increased over the years with a higher proportion of these surgeries being sleeve gastrectomies, this has been associated with some complications including staple line leaks. We report a 32-year-old male who had undergone a laparoscopic gastric band surgery and subsequently a laparoscopic sleeve gastrectomy, this was complicated by both an staple line leak at the gastroesophageal junction as well as a large (> 4 cm) posterior gastric wall defect due to gastric wall necrosis. We used two co-axially inserted self-expandable stents (SEMS) in the management of this patient, 5 stents were used over repeated endoscopy sessions and 20 wk. Both defects had resolved without the need for surgical intervention.This is the first reported case were SEMS are used for both a staple line leak as well as a gastric wall defect. We also review the literature on the use of SEMS in the management of leaks post weight reduction surgeries.
出处 《World Journal of Gastroenterology》 SCIE CAS 2013年第40期6931-6933,共3页 世界胃肠病学杂志(英文版)
基金 Supported by The Research Group Project,Deanship of Scientific Research at King Saud University,No.RGP-VPP-279
关键词 STENTS Self-expandable metal STENTS Laparoscopic sleeve gastrectomy STAPLE line LEAK ESOPHAGEAL LEAK GASTRIC NECROSIS Stents Self-expandable metal stents Laparoscopic sleeve gastrectomy Staple line leak Esophageal leak Gastric necrosis
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  • 1Nitin Kumar,Christopher C. Thompson.Endoscopic Management of Complications After Gastrointestinal Weight Loss Surgery[J].Clinical Gastroenterology and Hepatology.2013
  • 2Manish Parikh,Reda Issa,Aileen McCrillis,John K Saunders,Aku Ude-Welcome,Michel Gagner.Surgical Strategies That May Decrease Leak After Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-Analysis of 9991 Cases[J].Annals of Surgery.2013(2)
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