Table of Contents Author Guidelines Submit a Manuscript
Diagnostic and Therapeutic Endoscopy
Volume 2010 (2010), Article ID 891345, 5 pages
http://dx.doi.org/10.1155/2010/891345
Case Report

Endoscopic Management of Drain Inclusion in the Gastric Pouch after Gastrojejunal Leakage after Laparoscopic Roux-en-Y Gastric Bypass for the Treatment of Morbid Obesity (LRYGBP)

1Endocrine and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain
2Endocrinology Department, Universitary Hospital Vall d'Hebron, 08035 Barcelona, Spain

Received 31 January 2010; Accepted 1 May 2010

Academic Editor: Shai Friedland

Copyright © 2010 Ramon Vilallonga et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. S. J. Dudrick, A. R. Maharaj, and A. A. McKelvey, “Artificial nutritional support in patients with gastrointestinal fistulas,” World Journal of Surgery, vol. 23, no. 6, pp. 570–576, 1999. View at Publisher · View at Google Scholar · View at Scopus
  2. T. L. Sims, M. A. Mullican, E. C. Hamilton, D. A. Provost, and D. B. Jones, “Routine upper gastrointestinal gastrografin® swallow after laparoscopic Roux-en-Y gastric bypass,” Obesity Surgery, vol. 13, no. 1, pp. 66–72, 2003. View at Publisher · View at Google Scholar · View at Scopus
  3. E. Chousleb, S. Szomstein, and S. Szomstein, “Routine abdominal drains after laparoscopic Roux-en-Y gastric bypass: a retrospective review of 593 patients,” Obesity Surgery, vol. 14, no. 9, pp. 1203–1207, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  4. A. C. Wittgrove and G. W. Clark, “Laparoscopic gastric bypass, roux en-Y-500 patients: technique and results, with 3-60 month follow-up,” Obesity Surgery, vol. 10, no. 3, pp. 233–239, 2000. View at Google Scholar · View at Scopus
  5. T. K. Byrne, “Complications of surgery for obesity,” Surgical Clinics of North America, vol. 81, no. 5, pp. 1181–1193, 2001. View at Publisher · View at Google Scholar · View at Scopus
  6. S. T. Papavramidis, E. E. Eleftheriadis, T. S. Papavramidis, K. E. Kotzampassi, and O. G. Gamvros, “Endoscopic management of gastrocutaneous fistula after bariatric surgery by using a fibrin sealant,” Gastrointestinal Endoscopy, vol. 59, no. 2, pp. 296–300, 2004. View at Publisher · View at Google Scholar · View at Scopus
  7. A. Lecube, J. M. Fort, J. A. Baena, M. Armengol, R. Simo, and J. Mesa, “Inicial experience with 150 consecutive gastric bypass: an approach to the learning curve of bariatric procedures,” Obesity and Metabolism, vol. 3, pp. 175–182, 2007. View at Google Scholar
  8. F. Serafini, W. Anderson, P. Ghassemi, J. Poklepovic, and M. M. Murr, “The utility of contrast studies and drains in the management of patients after Roux-en-Y gastric bypass,” Obesity Surgery, vol. 12, no. 1, pp. 34–38, 2002. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  9. P. R. Schauer, S. Ikramuddin, W. Gourash, R. Ramanathan, and J. Luketich, “Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity,” Annals of Surgery, vol. 232, no. 4, pp. 515–529, 2000. View at Publisher · View at Google Scholar · View at Scopus
  10. K. D. Higa, K. B. Boone, and T. Ho, “Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients—what have we learned?” Obesity Surgery, vol. 10, no. 6, pp. 509–513, 2000. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  11. A. Z. Fernandez Jr., E. J. DeMaria, D. S. Tichansky, J. M. Kellum, L. G. Wolfe, J. Meador, and H. J. Sugerman, “Experience with over 3,000 open and laparoscopic bariatric procedures: multivariate analysis of factors related to leak and resultant mortality,” Surgical Endoscopy, vol. 18, no. 2, pp. 193–197, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  12. E. E. Mason, “Vertical banded gastroplasty for obesity,” Archives of Surgery, vol. 117, no. 5, pp. 701–706, 1982. View at Google Scholar · View at Scopus
  13. A. P. Aidonopoulos and S. T. Papavramidis, “Vertical gastroplasty with artificial pseudopylorus: a modification in the treatment of morbid obesity: early results,” Obesity Surgery, vol. 4, no. 4, pp. 349–352, 1994. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  14. E. R. T. C. Owen, R. Abraham, and A. E. Kark, “Gastroplasty for morbid obesity: technique, complications and results in 60 cases,” British Journal of Surgery, vol. 76, no. 2, pp. 131–135, 1989. View at Google Scholar · View at Scopus
  15. M. M. Meguid and A. C. L. Campos, “Nutritional management of patients with gastrointestinal fistulas,” Surgical Clinics of North America, vol. 76, no. 5, pp. 1035–1080, 1996. View at Google Scholar · View at Scopus
  16. D. C. Amarasinghe, “Air test as an alternative to methylene blue test for leaks,” Obesity Surgery, vol. 12, no. 2, pp. 295–296, 2002. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  17. D. Rose, M. F. Yarborough, P. C. Canizaro, and S. F. Lowry, “One hundred and fourteen fistulas of the gastrointestinal tract treated with total parenteral nutrition,” Surgery Gynecology and Obstetrics, vol. 163, no. 4, pp. 345–350, 1986. View at Google Scholar · View at Scopus
  18. S. T. Papavramidis and C. Milias, “Complications after vertical gastroplasty with artificial pseudopylorus in the treatment of morbid obesity: a 7-year experience,” Obesity Surgery, vol. 9, no. 6, pp. 535–538, 1999. View at Google Scholar · View at Scopus
  19. T. S. Papavramidis, K. Kotzampassi, E. Kotidis, E. E. Eleftheriadis, and S. T. Papavramidis, “Endoscopic fibrin sealing of gastrocutaneous fistulas after sleeve gastrectomy and biliopancreatic diversion with duodenal switch,” Journal of Gastroenterology and Hepatology, vol. 23, no. 12, pp. 1802–1805, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  20. M. Garcia-Caballero, M. Carbajo, J. M. Martínez-Moreno, M. Sarria, D. Osorio, and J.-A. Carmona, “Drain erosion and gastro-jejunal fistula after one-anastomosis gastric bypass: endoscopic occlusion by fibrin sealant,” Obesity Surgery, vol. 15, no. 5, pp. 719–722, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  21. G. S. Raymer, A. Sadana, D. B. Campbell, and W. A. Rowe, “Endoscopic clip application as an adjunct to closure of mature esophageal perforation with fistulae,” Clinical Gastroenterology and Hepatology, vol. 1, no. 1, pp. 44–50, 2003. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  22. L. Cipolletta, M. A. Bianco, G. Rotondano, R. Marmo, R. Piscopo, and C. Meucci, “Endoscopic clipping of perforation following pneumatic dilation of esophagojejunal anastomotic strictures,” Endoscopy, vol. 32, no. 9, pp. 720–722, 2000. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  23. L. R. Rábago, N. Ventosa, J. L. Castro, J. Marco, N. Herrera, and F. Gea, “Endoscopic treatment of postoperative fistulas resistant to conservative management using biological fibrin glue,” Endoscopy, vol. 34, no. 8, pp. 632–638, 2002. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  24. B. Petersen, A. Barkun, and A. Barkun, “Tissue adhesives and fibrin glues: November 2003,” Gastrointestinal Endoscopy, vol. 60, no. 3, pp. 327–333, 2004. View at Publisher · View at Google Scholar · View at Scopus
  25. F. Maluf-Filho, E. Moura, P. Sakai et al., “Endoscopic treatment of esophagogastric fistulae with an acellular matrix,” Gastrointestinal Endoscopy, vol. 59, no. 5, p. 151, 2004. View at Google Scholar
  26. E. Scappaticci, F. Ardissone, S. Baldi, F. Coni, F. Revello, P. L. Filosso, and E. Ruffini, “Closure of an iatrogenic tracheo-esophageal fistula with bronchoscopic gluing in a mechanically ventilated adult patient,” Annals of Thoracic Surgery, vol. 77, no. 1, pp. 328–329, 2004. View at Publisher · View at Google Scholar · View at Scopus
  27. M. Jung, B. C. Manegold, and W. Brands, “Endoscopic therapy of gastrointestinal fistulae with fibrin tissue sealant,” in Progress in Fibrin Sealing, H. W. Waclawiczek, Ed., pp. 43–52, Springer, Berlin, Germany, 1989. View at Google Scholar
  28. T. Kurokawa, S. Okushiba, and S. Okushiba, “Selective occlusion with fibrin glue under fistuloscopy: seven cases of postoperative management for intractable complex fistulas,” Endoscopy, vol. 34, no. 3, pp. 220–222, 2002. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  29. N. N. T. Lomis, F. J. Miller, T. J. Loftus, J. H. Whiting, A. W. Giuliano, and H.-C. Yoon, “Refractory abdominal-cutaneous fistulas or leaks: percutaneous management with a collagen plug,” Journal of the American College of Surgeons, vol. 190, no. 5, pp. 588–592, 2000. View at Google Scholar · View at Scopus
  30. S. T. Papavramidis, E. E. Eleftheriadis, D. N. Apostolidis, and K. E. Kotzampassi, “Endoscopic fibrin sealing of high-output non-healing gastrocutaneous fistulas after vertical gastroplasty in morbidly obese patients,” Obesity Surgery, vol. 11, no. 6, pp. 766–769, 2001. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  31. E. Eleftheriadis, E. Tzartinoglou, K. Kotzampassi, and H. Aletras, “Early endoscopic fibrin sealing of high-output postoperative enterocutaneous fistulas,” Acta Chirurgica Scandinavica, vol. 156, no. 9, pp. 625–628, 1990. View at Google Scholar · View at Scopus
  32. M. A. Chung and H. J. Wanebo, “Surgical management and treatment of gastric and duodenal fistulas,” Surgical Clinics of North America, vol. 76, no. 5, pp. 1137–1146, 1996. View at Google Scholar · View at Scopus
  33. H. Groitl and J. Scheele, “Initial experience with the endoscopic application of fibrin tissue adhesive in the upper gastrointestinal tract,” Surgical Endoscopy, vol. 1, no. 2, pp. 93–97, 1987. View at Publisher · View at Google Scholar · View at Scopus
  34. A. A. Gumbs, A. J. Duffy, and R. L. Bell, “Management of gastrogastric fistula after laparoscopic Roux-en-Y gastric bypass,” Surgery for Obesity and Related Diseases, vol. 2, no. 2, pp. 117–121, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  35. B. F. Merrifield, D. Lautz, and C. C. Thompson, “Endoscopic repair of gastric leaks after Roux-en-Y gastric bypass: a less invasive approach,” Gastrointestinal Endoscopy, vol. 63, no. 4, pp. 710–714, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  36. T. Papavramidis, I. Kesisoglou, V. Orailoglou, V. Baltzopoulos, V. Grosomanidis, and S. Papavramidis, “Mega-obese patients weighing more than 250 kg: a problematic group,” Acta Chirurgica Belgica, vol. 109, no. 1, pp. 61–64, 2009. View at Google Scholar · View at Scopus
  37. O. N. Tucker, S. Szomstein, and R. Rosenthal, “Laparoscopic management of chronic pouch fistula after a leak following staple line dehiscence after laparoscopic revision of a dilated pouch following Roux-en-Y gastric bypass,” Obesity Surgery, vol. 18, no. 2, pp. 228–232, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus