التفاصيل البيبلوغرافية
| العنوان: |
Role of Endoscopic Internal Drainage in Treating Gastro-Bronchial and Gastro-Colic Fistula After Sleeve Gastrectomy. |
| المؤلفون: |
D'Alessandro, Alessandra, Galasso, Giovanni, Zito, Francesco Paolo, Giardiello, Cristiano, Cereatti, Fabrizio, Arienzo, Roberto, Pacini, Filippo, Chevallier, Jean-Marc, Donatelli, Gianfranco |
| المصدر: |
Obesity Surgery; Feb2022, Vol. 32 Issue 2, p342-348, 7p |
| مصطلحات موضوعية: |
SLEEVE gastrectomy, FISTULA, SURGICAL drainage, SURGICAL emergencies, ENDOSCOPIC surgery, PROGNOSIS |
| مستخلص: |
Background : Gastro-bronchial and gastro-colic fistulas (GB-GC) represent a rare, but serious complication after laparoscopic sleeve gastrectomy (LSG). The aim of this study is to evaluate the efficacy of endoscopic first-line approach with endoscopic internal drainage (EID) by inserting double pigtail stents (DPS) Methods: We retrospectively analyzed data from 40 consecutive patients referred at two tertiary centers for gastro-bronchial (N=30) and gastrocolic (N=10) fistulas following LSG. Nineteen patients previously experienced emergency surgical drainage. The mean interval between the index surgery and endoscopic fistula treatment was 265.6±521 days. Results: Healing of the fistulous tract was achieved in 19 patients (47.5%), with complete resolution at an average follow-up of 16 months. Mean time of treatment duration was 157.8±141 days with 5.0±2.9 endoscopic sessions. No major adverse events were registered. Conclusions: Despite complete fistula healing was achieved in less than 50% of our population, EID for GB/GC fistula after LSG still represents the most conservative approach with low complications rate. Previous surgical drainage seems to be a positive prognostic factor for endoscopic healing. While the longer the interval between the index surgery and endoscopic treatment, the lower was the rate of treatment success. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |