Journal of Minimal Access Surgery

UNUSUAL CASE
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Year : 2015  |  Volume : 11  |  Issue : 2  |  Page : 160--162

Minimally invasive management of anastomotic leak after bariatric Roux-en-Y gastric bypass

Ilhan Ece, Huseyin Yilmaz, Husnu Alptekin, Fahrettin Acar, Serdar Yormaz, Mustafa Sahin 
 Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey

Correspondence Address:
Ilhan Ece
Department of Surgery, Selcuk University, Faculty of Medicine, Konya
Turkey

The aim of this retrospective study was to examine the anastomotic erosion due to drain and success of fibrin sealant in its management. Between 2013 and 2014, 102 patients underwent LRYGB and gastrojejunal anastomotic leak occurred due to drain erosion in 2 of them. The diagnosis was established with saliva drainage and was confirmed by upper gastrointestinal series. The absence of hemodynamic instability was directed us to conservative treatment. During the endoscopy, dehiscence was assessed and fibrin sealant was applied. The leaks healed progressively in a few days, and the drains removed within 6 days. Seven and 9 days later, the patients were discharged without any problem. Anastomotic leaks after bariatric surgery can cause severe morbidity, cost, and effects quality of life. Hemodynamically stable and drained patients are candidates for conservative methods. Endoscopic injection of fibrin sealant has been successful in closing gastric leaks.


How to cite this article:
Ece I, Yilmaz H, Alptekin H, Acar F, Yormaz S, Sahin M. Minimally invasive management of anastomotic leak after bariatric Roux-en-Y gastric bypass.J Min Access Surg 2015;11:160-162


How to cite this URL:
Ece I, Yilmaz H, Alptekin H, Acar F, Yormaz S, Sahin M. Minimally invasive management of anastomotic leak after bariatric Roux-en-Y gastric bypass. J Min Access Surg [serial online] 2015 [cited 2019 Sep 18 ];11:160-162
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=2;spage=160;epage=162;aulast=Ece;type=0