scholarly journals 1701 A Systematic Review of The Use of Stents in The Treatment of Bariatric Surgery Complications

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
O Barbouti ◽  
J Wei
Keyword(s):  
Bariatric Surgery ◽  
Observational Studies ◽  
Stent Migration ◽  
Success For All ◽  
Metal Stents ◽  
Surgery Complications ◽  
Endoscopic Stents ◽  
Bariatric Surgery Complications ◽  
Bariatric Complications ◽  
Self Expanding Metal Stents

Abstract 41 retrospective observational studies were identified of 792 obese and super obese patients treated with endoscopic stents for bariatric surgery complications including leaks (n = 770) and strictures (n = 22) post-Roux en Y gastric bypass (n = 228) and sleeve gastrectomy (n = 534). The main outcomes of the studies were the percentage success of stent therapy and percentage stent migration. Stents included self-expanding metal stents (SEMS), including partially covered self-expanding metal stents (PcSEMS) and fully covered self-expanding metal stents (FcSEMS). Several SEMS used were specifically designed for bariatric complications, being larger in diameter to reduce migration. The pooled percentage success for all patients (SG and RYGB) was 80.81% with stent migration occurring in 24.67% in all groups. The pooled percentage success for the RYGB group was 80.28% and in the LSG group was 85.86% with percentage migration occurring in 20.65% and 23.82% respectfully.

Impact of Centralized Management of Bariatric Surgery Complications on 90-day Mortality

2018 ◽  
Vol 268 (5) ◽  
pp. 831-837 ◽  
Author(s):  
Robert Caiazzo ◽  
Gregory Baud ◽  
Guillaume Clément ◽  
Xavier Lenne ◽  
Fanelly Torres ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Surgery Complications ◽  
Bariatric Surgery Complications ◽  
Centralized Management

scholarly journals Enterocutaneous fistulas due to stent migration. How reliable is its use on duodenal benign pathology? a case report

2020 ◽  
Vol 8 (6) ◽  
pp. 2316
Author(s):  
Aldo Edyair Jimenez Herevia ◽  
Luis Montiel Hinojosa ◽  
Diego Hinojosa Ugarte ◽  
Erick Martin Paez Hernandez ◽  
Enrique Obregon Moreno
Keyword(s):  
Enterocutaneous Fistula ◽  
Duodenal Bulb ◽  
Exploratory Laparotomy ◽  
Stent Migration ◽  
Metal Stents ◽  
Benign Pathology ◽  
Extraction Site ◽  
Self Expanding Metal Stents ◽  
Hepatopancreatobiliary Surgery ◽  
The Right

Duodenal stenting has been widely used on malignant pathology on selected patients with poor prognosis and advanced disease. In these last years, there has been a clear ampliation of the clinical applications of endoscopy procedures and stents. Its use on benign pathology is spreading but there is a lack of literature about the complications in this context. The incidence of stent migration is about 10-25% in self-expandable metal stent (SEMS), and 2-5% on covered self-expanding metal stents (CSEMS). We reported a clinical case of a 48 years old patient who developed a duodenal ulcer. The patient was submitted to exploratory laparotomy, with duodenal primary closure of the ulcer. Later, the patient developed a enterocutaneous fistula because of the duodenal leak. It was referred to our third level hospital to the hepatopancreatobiliary surgery service. A new exploratory laparotomy with duodenal exclusion was planned, but it was impossible to access due to frozen abdomen. CSEMS was placed in the duodenal bulb resulting in the resolution of leaking, but the stent could not be removed because of migration. The stent trajectory was followed by abdominal x ray and tomography. The patient developed multiple intestinal an fecal enterocutaneous fistulas. It was submitted to multiples endoscopies, colonoscopies and enteroscopy without any success to reaching it. It was decided to perform a right lumbotomy to extract the prothesis. The stent was surgically removed, a planned stoma was left on the right flank on the extraction site.

Obstrucción intestinal, complicación inusual por banda gástrica ajustable laparoscópica: reporte de caso

2021 ◽  
Vol 64 (3) ◽  
pp. 43-47
Author(s):  
María Fernanda Chimal Juáreza ◽  
Enrique Fernández Rivera ◽  
Fabián Gaona Reyes ◽  
María del Pilar Rodríguez Reséndiz ◽  
Víctor Samuel Mora Muñoz
Keyword(s):  
Bariatric Surgery ◽  
Clinical Case ◽  
Gastric Band ◽  
Laparoscopic Adjustable Gastric Band ◽  
Adjustable Gastric Band ◽  
Surgery Complications ◽  
Bariatric Surgery Complications ◽  
History Of ◽  
Bariatric Patients ◽  
Uncommon Complication

Background: The main goal of bariatric surgery is the reduction of Body mass index (BMI). Laparoscopic adjustable gastric band (LAGB) was the most popular method due to its relative advantages over others. Clinical case: A 44-year-old woman with abdominal pain and distension, with a history of LAGB placement had a diagnosis of intestinal occlusion secondary to a twist in the device tube, surgical management was given, the patient presented adequate evolution. Conclusion: The occlusion of the small intestine by the tube of the device is a serious and uncommon complication to be considered as a differential diagnosis in bariatric patients. Keywords: Bariatric surgery; complications; gastric band; bowel obstruction; obesity.

The management of bariatric surgery complications

2019 ◽  
Vol 37 (10) ◽  
pp. 595-599
Author(s):  
William Hawkins ◽  
Ian Maheswaran
Keyword(s):  
Bariatric Surgery ◽  
Surgery Complications ◽  
Bariatric Surgery Complications
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