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Staple Line Leak Following Laparoscopic Sleeve Gastrectomy

  • Michel Gagner
Chapter

Abstract

Staple line leak following laparoscopic sleeve gastrectomy is the most dreaded complication succeeding this operation. Fortunately, it has been declining steadily, and its management is now well organized, so much that the mortality subsequent to this operation is now one of the lowest, making it safer than gastric bypass and full duodenal switch operations. It has grown into the most popular operation in the USA (nearly 60% of all procedures) and also worldwide. Hence, all surgeons should be familiar with the management of this complication, as a function of time and size; there are many methods, ranging from just endoscopy to full-fledged laparoscopic (or open) Roux-en-Y conversions. With its dwindling incidence, it is unlikely that practicing surgeons will acquire enough expertise and experience to treat those, and prevention should be the best policy to avoid them all.

Keywords

Sleeve gastrectomy Surgical complications Gastric leak Gastric fistula Fistula Stent Weight loss surgery Bariatric surgery 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Michel Gagner
    • 1
    • 2
  1. 1.Professor of Surgery, Department of Surgery, Herbert Wertheim School of MedicineFlorida International UniversityMiamiUSA
  2. 2.Department of SurgeryHôpital Du Sacré CoeurMontréalCanada

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