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Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

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Keywords

Obesity
Gastrectomy
Anastomotic Leak
Fístula
Endoscopy, Gastrointestinal
Bariatric Surgery

How to Cite

1.
Endoscopic approach in the management of post gastric sleeve leakage. Cambios rev. méd. [Internet]. 2021 Sep. 29 [cited 2025 Nov. 4];20(1):80-6. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/652

Abstract

INTRODUCTION. Post gastric sleeve leakage is a complication of surgical bariatric procedures, with a prevalence of 2,1%, in which the endoscopic approach is used, describing its safety and success is relevant. OBJECTIVE. To describe the endoscopic approach in the management of post gastric sleeve leak. MATERIALS AND METHODS. Bibliographic review and systematic analysis of scientific articles. From a total of 384 articles, 11 full-text publications were selected; 9 articles were retrospective studies and 2 systematic reviews. Search terms on endoscopic treatment in postgastric sleeve leak were based on PubMed data that met the criteria: leak, fistula, partial gastrectomy, gastrointestinal endoscopy. RESULTS. The literature reported safety with zero mortality and success rate for endoscopic suture 80,0%, over the scope clip 86,3%, endoscopic internal drainage 83,41%, endoscopic septotomy 100,0%, endoscopic stents up to 95,0% and endoscopic vacuum therapy 87,5%. CONCLUSION. It was evidenced that the endoscopic approach in the management
of post gastric sleeve leak was safe and successful; expert personnel are needed in the different therapeutic modalities reported.

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