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Obesity Surgery

, Volume 29, Issue 7, pp 2051–2058 | Cite as

Percutaneous Image-Guided Abdominal Interventions for Leaks and Fistulas Following Sleeve Gastrectomy and Roux-en-Y Gastric Bypass

  • Mariano PalermoEmail author
  • C. Federico Davrieux
  • Pablo A. Acquafresca
  • Michel Gagner
  • Edgardo Serra
  • Eduardo J. Hougthon
  • Caetano Finger
  • Mariano E. Giménez
Original Contributions
  • 115 Downloads

Abstract

Background

Bariatric surgery offers the only effective long-term weight loss therapy for morbidly obese patients. Numerous studies have demonstrated a mortality and morbidity reduction associated with weight loss surgery, but these interventions also have significant rates of complications. It is important for the bariatric surgeons to recognize these complications and acknowledge which of them can be solved in a minimally invasive manner in order to offer to patients the best treatment. The aim of this article was to review factors and success rates associated with percutaneous image guide abdominal interventions to treat the complications of bariatric surgery.

Materials and Methods

Retrospective descriptive study. Eighty-two patients with complications after bariatric surgery were included. Of these, 56 presented fistula with or without abdominal collection.

Results

Of the total patients, 54% are male and 46% female. The average age was 49.4 (range 16–62). Of the 56 cases, 37 (66.1%) occurred after laparoscopic sleeve gastrectomy, and 19 (33.9%) post-Roux-en-Y gastric bypass. The fistula was resolved by percutaneous image guide abdominal interventions in 49 opportunities, of which 67% required only conservative treatment afterwards, the remaining 33% required endoscopic treatment with prostheses, fibrin sealants, and/or clips. No mortality was reported in the series.

Conclusion

Percutaneous image-guided abdominal interventions play a significant role in the treatment of complications following bariatric surgery. The minimally invasive treatment of fistula after bariatric surgery is safe and effective.

Keywords

Obesity Bariatric surgery Surgical complications Percutaneous surgery Image-guided surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mariano Palermo
    • 1
    • 2
    • 6
    Email author
  • C. Federico Davrieux
    • 1
    • 3
  • Pablo A. Acquafresca
    • 1
  • Michel Gagner
    • 4
    • 5
  • Edgardo Serra
    • 1
    • 2
  • Eduardo J. Hougthon
    • 1
  • Caetano Finger
    • 1
  • Mariano E. Giménez
    • 1
    • 6
    • 7
    • 8
  1. 1.DAICIM Foundation (Asistencia, Docencia e Investigación en Cirugía Invasiva Mínima)Buenos AiresArgentina
  2. 2.CIEN- DIAGNOMED Center Affiliated to the University of Buenos AiresBuenos AiresArgentina
  3. 3.Sanatorio de la Mujer, FishertonRosarioArgentina
  4. 4.Herbert Wertheim College of MedicineFlorida International UniversityMiamiUSA
  5. 5.Hopital du Sacre CoeurMontrealCanada
  6. 6.University of Buenos AiresBuenos AiresArgentina
  7. 7.University of StrasbourgStrasbourgFrance
  8. 8.IHU (Institut Hospitalo-Universitaire) - IRCAD (Institut de Recherche Contre les Cancers de l’Appareil Digestif)StrasbourgFrance

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