Minimizing the leakage after sleeve gastrectomy

Mohamed Bekheit, MSc, MSc, MRCS, MCPS, Khaled Katri, Professor, Wael N Abdelsalam, Professor, El Saed El Kayal, Professor

Department of Surgery, Alexandria main University Hospital

Leakage after bariatric surgery is a troublesome complication that could have fatal outcome if an early management is not pursued. The leak rate varies from a procedure to another. Sleeve gastrectomy is one of the available surgical treatment options for morbid obesity. However, the leakage after this intervention was reported to be high. Technical steps strongly contribute into the occurrence of leak after sleeve gastrectomy.

In the last 60 patients we implemented changes in the dissection plan, stapler firing direction, with over sewing of the upper part of the gastric sleeve.

Leakage rates were reduced from 9% in an earlier series to 1 case (1.6%) in this series. The leak in this case was due to stapler misfire.

Minimizing the leak rate after sleeve gastrectomy was feasible upon implementation of the adapted technical steps.

Session: Poster Presentation

Program Number: P412

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