Erschienen in:
12.02.2019 | Letter to the Editor
Massive Gastrointestinal Bleeding Due to Splenic Artery Erosion by a PigTail Drain in a Post Sleeve Gastrectomy Leak: a Case Report
verfasst von:
Elias Chahine, Antonio D’Alessandro, Mostafa Elhajjam, Frédéric Moryoussef, René-Louis Vitte, Robert Carlier, Salman Alsabah, Elie Chouillard
Erschienen in:
Obesity Surgery
|
Ausgabe 5/2019
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Excerpt
Digestive leak remains the main complication following surgery for morbid obesity, with an incidence rate of 1 to 5%, and a potential mortality rate between 0.1 and 5% [
1,
2]. Historically, the management of leaks occurring after sleeve gastrectomy (SG) involved closure devices, including endoclips, over-the-scope clips and glue, or exclusion devices like self-expandable metallic stents (SEMS) [
3‐
6]. The rate of success of these approaches averaged 70% [
5,
6]. However, these commonly required several endoscopic sessions, numerous hospitalizations, and produced significant discomfort for the patients. More specifically, SEMS could lead to serious complications including migration, bleeding, ingrowth, or even perforation or stripping in up to 6% of cases [
7]. …
