Journal ArticleDOI
Endoscopic therapy for postoperative leaks and fistulae.
TLDR
Examination of endoscopic therapy for leaks and fistulae after esophageal, gastric, bariatric, colonic, and pancreaticobiliary surgery examines endoscopic therapies for efficacy relative to surgical management.About:
This article is published in Gastrointestinal Endoscopy Clinics of North America.The article was published on 2013-01-01. It has received 55 citations till now.read more
Citations
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Journal ArticleDOI
Endoscopic management of gastrointestinal perforations, leaks and fistulas.
TL;DR: The basic principles of the management of acute iatrogenic perforations, as well as of postoperative leaks and chronic fistulas of the gastrointestinal tract are summarized and various endoscopic methods are described based on current research and experience.
Journal ArticleDOI
Efficacy and Safety of Stents in the Treatment of Fistula After Bariatric Surgery: a Systematic Review and Meta-analysis
Ossamu Okazaki,Wanderley Marques Bernardo,Vitor Ottoboni Brunaldi,Cesar Junior,Mauricio Kazuyoshi Minata,Diogo Turiani Hourneaux de Moura,Thiago Ferreira de Souza,Josemberg Marins Campos,Marco Aurelio Santo,Eduardo Guimarães Hourneaux de Moura +9 more
TL;DR: Current evidence from identified studies demonstrates that, in selected patients, endoscopic stent treatment of fistulas after GS or RYGB can be safe and effective.
Journal ArticleDOI
Endoscopic Management of Gastrointestinal Leaks and Fistulae
TL;DR: Modalities of endoscopic closure of gastrointestinal leaks and fistulae are discussed and the published outcomes data regarding each approach are reviewed as well as practical considerations for successful closure of luminal defects.
Journal ArticleDOI
Endotherapy of leaks and fistula
Mahesh Kumar Goenka,Usha Goenka +1 more
TL;DR: An algorithm based on location, size of defect, associated stricture, infection and available expertise needs to be developed to reduce the mortality and morbidity of this difficult clinical problem.
Journal ArticleDOI
Thermoresponsive Gel Embedded with Adipose Stem-Cell-Derived Extracellular Vesicles Promotes Esophageal Fistula Healing in a Thermo-Actuated Delivery Strategy.
Amanda K. A. Silva,Silvana Perretta,Guillaume Perrod,Laetitia Pidial,Véronique Lindner,Florent Carn,Shony Lemieux,Damien Alloyeau,Imane Boucenna,Philippe Menasché,Bernard Dallemagne,Florence Gazeau,Claire Wilhelm,Christophe Cellier,Olivier Clément,Gabriel Rahmi +15 more
TL;DR: Overall, it is demonstrated that ASC-EV delivery into a PF-127 gel represents a successful local minimally invasive strategy to induce a therapeutic effect in a swine fistula model.
References
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Journal ArticleDOI
Anastomotic Leaks After Intestinal Anastomosis: It's Later Than You Think
TL;DR: Anastomotic leaks are frequently diagnosed late in the postoperative period and often after initial hospital discharge, highlighting the importance of prospective data entry and adequate follow-up.
Journal ArticleDOI
Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients.
TL;DR: Vigilant follow-up during the first 30 days is critical to avoid catastrophe, because most leaks will happen after patient discharge, and adopting the use of a 40-Fr or larger bougie may decrease the risk of leak.
Journal ArticleDOI
Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients.
Nasser Sakran,David Goitein,David Goitein,Asnat Raziel,Andrei Keidar,Nahum Beglaibter,Ronit Grinbaum,Ibrahim Matter,Ricardo Alfici,Ricardo Alfici,Ahmad Mahajna,Ahmad Mahajna,Igor Waksman,Mordechai Shimonov,Mordechai Shimonov,Ahmad Assalia,Ahmad Assalia +16 more
TL;DR: Gastric leak is the most common cause of major morbidity and mortality after LSG, and routine tests to rule out leaks seem to be superfluous.
Journal ArticleDOI
Laparoscopic sleeve gastrectomy--volume and pressure assessment.
Ronit T. Yehoshua,Leonid A. Eidelman,Michael Stein,Suzana Fichman,Amir Mazor,Jacopo Chen,Hanna Bernstine,Pierre Singer,Ram Dickman,Nahum Beglaibter,Scott A. Shikora,Raul J. Rosenthal,Moshe Rubin +12 more
TL;DR: The notably higher pressure in the sleeve, reflecting its markedly lesser distensibility compared to that of the whole stomach and of the removed fundus, indicates that this may be an important element in the mechanism of weight loss.
Journal ArticleDOI
The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas
TL;DR: The OtsC clip is effective and safe for complicated bleeding and closure of perforations of the gastrointestinal tract and sufficient closure of chronic fistulas with the OTSC still remains an unsolved problem.