Abstract
Purpose
Management of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks.
Materials and Methods
Eight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed.
Results
During the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 ± 8.6 days of EVT, 3.3 ± 2.2 endoscopies, and 19 ± 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%).
Conclusions
EVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.
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The local ethic committee at the University Hospital of Tübingen, Germany, approved this study.
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Archid, R., Wichmann, D., Klingert, W. et al. Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy. OBES SURG 30, 1310–1315 (2020). https://doi.org/10.1007/s11695-019-04269-6
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DOI: https://doi.org/10.1007/s11695-019-04269-6