CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.1006 |
Resumo: | Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management. To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG. |
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CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULACONVERSÃO DE SLEEVE EM BYPASS GÁSTRICO EM Y-DE-ROUX APÓS FÍSTULA GÁSTRICASleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management. To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG.Sleeve Gástrico (SG) é a cirurgia bariátrica mais frequentemente realizada mundialmente. Apesar de ser considerada uma cirurgia mais simples quando comparada com outras abordagens cirúrgicas, tem riscos de complicações pós-operatórias. Fístulas gástricas após SG são uma das complicações mais temidas e a explicação mais consensual para a sua ocorrência prende-se com o aumento de pressão intra-luminal devido a alterações do esvaziamento gástrico. Devido à sua natureza complexa e etiologia multi-factorial, o tratamento é desafiante e envolve uma abordagem multidisciplinar frequentemente clínica, endoscópica e cirúrgica. Até à data não existe consenso relativamente à melhor abordagem ou ao tempo ideal para tratar fístulas gástricas após SG. No entanto, a conversão para bypass gástrico em Y-de-Roux (BGYR) é uma das opções pois diminui a pressão intra-luminal do tubo gástrico. Apresentamos um video de uma conversão de SG em BGYR após fístula gástrica por laparoscopia.Sociedade Portuguesa de Cirurgia2024-01-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.1006https://doi.org/10.34635/rpc.1006Revista Portuguesa de Cirurgia; No 56 (2023): December; 97-98Revista Portuguesa de Cirurgia; No 56 (2023): December; 97-982183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/1006https://revista.spcir.com/index.php/spcir/article/view/1006/697https://revista.spcir.com/index.php/spcir/article/view/1006/698Copyright (c) 2024 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessNogueiro, JorgeGomes, FábioResende, FernandoPinho, AndréSantos-Sousa, HugoPreto, JohnLima da Costa, Eduardo2024-02-22T22:32:46Zoai:revista.spcir.com:article/1006Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:10:54.411877Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA CONVERSÃO DE SLEEVE EM BYPASS GÁSTRICO EM Y-DE-ROUX APÓS FÍSTULA GÁSTRICA |
title |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA |
spellingShingle |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA Nogueiro, Jorge |
title_short |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA |
title_full |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA |
title_fullStr |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA |
title_full_unstemmed |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA |
title_sort |
CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA |
author |
Nogueiro, Jorge |
author_facet |
Nogueiro, Jorge Gomes, Fábio Resende, Fernando Pinho, André Santos-Sousa, Hugo Preto, John Lima da Costa, Eduardo |
author_role |
author |
author2 |
Gomes, Fábio Resende, Fernando Pinho, André Santos-Sousa, Hugo Preto, John Lima da Costa, Eduardo |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Nogueiro, Jorge Gomes, Fábio Resende, Fernando Pinho, André Santos-Sousa, Hugo Preto, John Lima da Costa, Eduardo |
description |
Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management. To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-01-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.1006 https://doi.org/10.34635/rpc.1006 |
url |
https://doi.org/10.34635/rpc.1006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/1006 https://revista.spcir.com/index.php/spcir/article/view/1006/697 https://revista.spcir.com/index.php/spcir/article/view/1006/698 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 56 (2023): December; 97-98 Revista Portuguesa de Cirurgia; No 56 (2023): December; 97-98 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799137759203426304 |