Table of Contents Author Guidelines Submit a Manuscript
Journal of Obesity
Volume 2017 (2017), Article ID 4703236, 5 pages
https://doi.org/10.1155/2017/4703236
Clinical Study

Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy

1Bariatric Surgery Unit, Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, 00133 Rome, Italy
2Psychiatry Unit, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy

Correspondence should be addressed to Mauro Montuori; ti.liamtoh@iroutnom.oruam

Received 15 September 2016; Accepted 5 January 2017; Published 2 February 2017

Academic Editor: Till Hasenberg

Copyright © 2017 Mauro Montuori 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.

Abstract

Introduction. Aim of the study was trying to draw a final flow chart for the management of gastric leaks after laparoscopic sleeve gastrectomy, based on the review of our cases over 10 years’ experience. Material and Methods. We retrospectively reviewed all patients who underwent LSG as a primary operation at the Bariatric Unit of Tor Vergata University Hospital in Rome from 2007 to 2015. Results. Patients included in the study were 418. There were 6 staple line leaks (1.44%). All patients with diagnosis of a leak were initially discharged home in good clinical conditions and then returned to A&E because of the complication. The mean interval between surgery and readmission for leak was 13,4 days (range 6–34 days, SD ± 11.85). We recorded one death (16.67%) due to sepsis. The remaining five cases were successfully treated with a mean healing time of the gastric leak of 55,5 days (range 26–83 days; SD ± 25.44). Conclusion. Choosing the proper treatment depends on clinical stability and on the presence or not of collected abscess. Our treatment protocol showed being associated with low complication rate and minor discomfort to the patients, reducing the need for more invasive procedures.