Bariatric procedures have emerged as a leading therapeutic approach in morbidly obese
patients. Laparoscopic sleeve gastrectomy (LSG) was originally introduced as a bridge
procedure before Roux-en-Y gastric bypass (RYGB) but has subsequently become a definitive
procedure after demonstrating similar efficacy to that of RYGB for inducing weight
loss.
1
Moreover, LSG has demonstrated a good safety profile and is less technically demanding
than RYGB.
2
,
3
However, LSG is prone to some adverse events because of the long staple line and
elevated intragastric pressure.
4
These include staple-line leakage, bleeding, and sleeve stricture.
4
The prevalence of staple-line leaks has been as high as 20% in some reports, but
a more traditional estimate is 1% to 9%.
5
,
6
The onset of leaks is defined as acute, early, late, or chronic depending on the
time interval since surgery: up to 1 week, 1 to 6 weeks, 6 to 12 weeks, and more than
12 weeks, respectively.
6
Abbreviations:
LSG (laparoscopic sleeve gastrectomy), RYGB (Roux-en-Y gastric bypass), SEMS (self-expandable metal stent), S-SEMS (sleeve-customized self-expandable metallic stent)To read this article in full you will need to make a payment
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References
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Article Info
Publication History
Published online: February 28, 2015
Accepted:
November 5,
2014
Received:
July 8,
2014
Footnotes
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
Identification
Copyright
© 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
