Prevention and Management of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy
Athanasia Mitsala, Sempachedin Perente, Constantinos Simopoulos
Affiliation
Second Department of Surgery, Democritus University of Thrace School of Medicine, Alexandroupolis, Greece
Corresponding Author
Sotirios Botaitis, M.D, Democritus University of Thrace School of Medicine, Dragana Alexandroupolis 68100, Greece, Tel: +302551351011/ Fax: +302551030412; E-mail: smpotait@med.duth.gr
Citation
Botaitis, S., et al. Prevention and Management of Staple Line Leaks after Laparoscopic Sleeve Gastrectomy. (2018) J Anesth Surg 5(1): 95- 102.
Copy rights
© 2018 Botaitis, S. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Laparoscopic Sleeve Gastrectomy (LSG) is gaining ground as a bariatric procedure with proven efficacy on weight loss and obesity-related comorbidities. Compared to other bariatric procedures, its complications can be even more severe. Gastric leak is estimated to be the most serious complication of this procedure due to difficult healing processes not to mention the fact that it may also be responsible for local or general severe septic complications. Staple line dehiscence and subsequent leaks following sleeve gastrectomy are not very frequent but are a difficult complication that can also become chronic. Various options have been suggested but no definitive has been established.
The management of patients who develop leakages requires a multidisciplinary team. Choosing the proper approach depends on the clinical condition of the patient and the onset time of leak. Main aim of this paper is to provide an overview of the pathogenic and promoting factors of staple line leak following LSG on the basis of recent literature review and to report the evidence based preventive measures and treatment solutions of this life-threatening complication.