Nieszczelność po rękawowej resekcji żołądka. Leczenie endoskopowe z zastosowaniem kleju tkankowego – opis przypadku
Leak after sleeve gastrectomy. Endoscopic treatment with the use of fibrin sealant – case report
Department of General, Oncological and Digestive Tract Surgery, Medical Centre of Postgraduate Education, Warszawa
Head of Department: prof. Wiesław Tarnowski, MD, PhD
The prevalence of laparoscopic techniques favors the development of bariatric surgery. Minimally invasive techniques are associated with fewer complications and lower mortality in the perioperative period and laparoscopic access is currently preferred in bariatric surgery (1-3). Among the many methods of surgical treatment of obesity, sleeve gastrectomy is becoming increasingly popular. Over the last decade, sleeve gastrectomy has become one of the most frequently performed bariatric procedures and the effectiveness and safety of this method has been confirmed in numerous reports (4-8). The most feared complications associated with sleeve gastrectomy include leakage within the staple line. There are different theories on the causes of the leakage within the staple line after sleeve gastrectomy. A number of different methods of treatment were described in the case of this complication. In this paper, we will present a case of a patient in whom there was a leakage resulting from cutting the bougie used to calibrate the sleeve, and fibrin sealant, applied endoscopically, was used in the treatment.
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