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Gastric Leaks Management after Sleeve Surgery
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| Author:
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, DR. HAIDER ALI AL RAMAHI
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| Abstract:
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Background: Laparoscopic sleeve gastrectomy (LSG) is evolving to be the frequently executed bariatric universal processes for the variant degree's obese patients
Patients and methods: Around two thousand (2000) morbid obese patients having an index body mass of 44.64 ±9.01 kg/m2 tolerated LSG commencing January 2013-2018 at our private organization. Amongst these patients, some of gastric leak diagnosed were involved in our research study as well as the referred gastric leak patients later to LSG were also incorporated.
Results: Different results were obtained with significant differences in the study groups as shown in the figures and results in the article.
Conclusion: The backbone of the diagnosis of sleeve leaks are found to be the CT scan and clinical suspension. Thus, the leakage cessation period might be shorter along with endoscopic or early surgical intervention as compared to the expectant management. Customization of the choice and sequence of surgical re-intervention or endoscopic esophageal stenting should be done conferring the surgeon’s experience, facility and clinical presentation. A combination of methods depending on the situation is often required to achieve success.
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| Keyword:
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Gastric Leaks ; Management ; Sleeve Surgery.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.SP2.151
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| Download:
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