Endoscopic treatment of the fistulas after laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass

Revista do Colégio Brasileiro de Cirurgiões

Luís Gustavo Santos Périssé¹  Paulo Cezar Marques Périssé¹  Celso Bernardo Júnior¹ 

关键词: Fistula;    Postoperative Complications;    Endoscopy;    Gastrointestinal;    Prosthesis;    Fístula;    Complicações Pós-Operatórias;    Procedimentos Cirúrgicos Endoscópicos Gastrointestinais;    Implante de Prótese;   

DOI  :  10.1590/0100-69912015003006

来源: SciELO

【 摘 要 】

to evaluate the use of endoscopic self-expandable metallic prostheses in the treatment of fistulas from sleeve gastrectomy and Roux en y gastric bypass. all patients were treated with fully coated auto-expandable metallic prostheses and were submitted to laparoscopic or CT-guided drainage, except for those with intracavitary drains. After 6-8 weeks the prosthesis was removed and if the fistula was still open a new prostheses were positioned and kept for the same period. the endoscopic treatment was successful in 25 (86.21%) patients. The main complication was the migration of the prosthesis in seven patients. Other complications included prosthesis intolerance, gastrointestinal bleeding and adhesions. The treatment failed in four patients (13.7%) one of which died (3.4%). endoscopic treatment with fully coated self-expandable prosthesis was effective in treating most patients with fistula after sleeve gastrectomy and roux en y gastric bypass.

【 授权许可】

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