Computed Tomography Guided Drainage of Postsleeve Gastrectomy Leak Collection

Background: Sleeve gastrectomy is now very popular bariatric surgery. post sleeve gastrectomy leak is challenging complication to treat. conservative management is preferred over operative one. drainage of the leak collection with endoluminal stenting is essential component of conservative management. CT guided percutaneous drainage is alternative to surgical and endoscopy drainage. no standards approach for post sleeve gastric leak is established. Method(s): Retrospective review of all post sleeve gastrectomy leak collection CT guided percutaneous drainage from February 2011- September 2018 done in our institution. our institution is well known center of excellent for post sleeve gastrectomy leak management. Result(s): 53 patients underwent CT guided percutaneous drainage for post sleeve gastrectomy leak collection (23 females and 30 males; average 33.8 range 18-65). All procedures were done using CT guidance and Seldinger technique. Drains size range from 10-14 Fr. Technical and clinical success was 100 %. 1 patient had bleeding complication that was treated by embolization. 10 patients need drain change or adjustment. No patient underwent surgery for collection management. indwelling drain time average of 70 days. All patient underwent endoluminal stent placement. Conclusion(s): CT guided percutaneous drainage of post sleeve gastrectomy leak is safe and effective treatment.

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Artikel online veröffentlicht:
11. Mai 2021