Year 2024 / Volume 116 / Number 1
Letter
Effective and alternative treatment of anastomotic leak after gastrojejunal bypass: endoluminal vacuum therapy

52-53

DOI: 10.17235/reed.2023.9675/2023

María de Armas Conde, Marta Rojas Estévez, Carmen Díaz López, Vanessa Concepción Martín, Rajesh Gianchandani Moorjani, María del Pilar Borque Barrera, Diana María García Romero, Modesto Enrique Moneva Arce,

Abstract
Anastomotic leak (AL) after with Roux-en-Y gastric bypass (RYGB) has a morbidity rate to 53% and it can be potentially lethal (mortality rate from 0.5 to 10%). In these cases, surgery is usually a challenge, so in recent years minimally invasive endoscopic treatment is gaining ground. Endoluminal vacuum therapy (EVAC) is a promising treatment that is being used in esophagogastric and rectal surgery for the management of AL. We present the case of a patient on his 5th postoperative day of bariatric surgery (RYGB) with an acute abdomen. He was diagnosed of dehiscence of gastrojejunal anastomosis and he needed urgent surgery twice. Subsequently, in control CT, a new anastomotic leak is evidenced. However, given the clinical stability of the patient, it was decided to start EVAC type ESO-Sponge® placed by endoscopy. A total of 4 changes are made every 3-4 days with a total duration of treatment of 15 days. EVAC was removed when the defect presented a 1 mm sized.
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de Armas Conde M, Rojas Estévez M, Díaz López C, Concepción Martín V, Gianchandani Moorjani R, Borque Barrera M, et all. Effective and alternative treatment of anastomotic leak after gastrojejunal bypass: endoluminal vacuum therapy. 9675/2023


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Publication history

Received: 18/04/2023

Accepted: 22/04/2023

Online First: 19/05/2023

Published: 11/01/2024

Article Online First time: 31 days

Article editing time: 268 days


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