Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spcir.com/index.php/spcir/article/view/275 |
Resumo: | Background: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a technical demanding laparoscopic operation. Anastomotic leaks at the gastojejunostomy have been reported as a major factor in increased morbidity and mortality. Nonoperative treatment is possible only in less than half of those patients. Methods: Retrospectively collected data from 100 LRYGB performed at our institution from July 2004 to June 2006 was analyzed. Diagnosis of anastomotic leak was established when patients presented alimentary drainage from abdominal drain and proved after ingestion of water dyed with methylene blue. GI series with oral contrast were used to establish the location of the anastomotic leak. Results: Sevenpatientspresentedwithanastomoticleak.Allofthemhavebeendischargedfromthehospitalafewdaysearlierwith no complains. The common initial complain was alimentary drainage from the abdominal drain. All were treated nonoperative being nil per os with total parenteric nutrition and antibiotics when required. One was laparotomized because of gastrointestinal bleeding on the 4th day of nonoperative approach. Conclusions: Anastomotic leak from gastrojejunostomy is a major complication from LRYGB. Nonoperative treatment is possible in a large number of these patients. Placement and maintenance of an abdominal drain made possible early diagnosis and is probably one of the major factors for the success of nonoperative treatment. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópicoBackground: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a technical demanding laparoscopic operation. Anastomotic leaks at the gastojejunostomy have been reported as a major factor in increased morbidity and mortality. Nonoperative treatment is possible only in less than half of those patients. Methods: Retrospectively collected data from 100 LRYGB performed at our institution from July 2004 to June 2006 was analyzed. Diagnosis of anastomotic leak was established when patients presented alimentary drainage from abdominal drain and proved after ingestion of water dyed with methylene blue. GI series with oral contrast were used to establish the location of the anastomotic leak. Results: Sevenpatientspresentedwithanastomoticleak.Allofthemhavebeendischargedfromthehospitalafewdaysearlierwith no complains. The common initial complain was alimentary drainage from the abdominal drain. All were treated nonoperative being nil per os with total parenteric nutrition and antibiotics when required. One was laparotomized because of gastrointestinal bleeding on the 4th day of nonoperative approach. Conclusions: Anastomotic leak from gastrojejunostomy is a major complication from LRYGB. Nonoperative treatment is possible in a large number of these patients. Placement and maintenance of an abdominal drain made possible early diagnosis and is probably one of the major factors for the success of nonoperative treatment. Sociedade Portuguesa de Cirurgia2007-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/275Revista Portuguesa de Cirurgia; No 3 (2007): Dezembro 2007 - II Série; 41-46Revista Portuguesa de Cirurgia; No 3 (2007): Dezembro 2007 - II Série; 41-462183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/275https://revista.spcir.com/index.php/spcir/article/view/275/274Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessRodrigues, PedroGuimarães, MariaMartins, PauloNora, MárioGonçalves, Gil2024-03-14T22:05:08Zoai:revista.spcir.com:article/275Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:49.732376Repositório 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 |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
title |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
spellingShingle |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico Rodrigues, Pedro |
title_short |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
title_full |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
title_fullStr |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
title_full_unstemmed |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
title_sort |
Tratamento conservador das deiscências anastomóticas após bypass gástrico laparoscópico |
author |
Rodrigues, Pedro |
author_facet |
Rodrigues, Pedro Guimarães, Maria Martins, Paulo Nora, Mário Gonçalves, Gil |
author_role |
author |
author2 |
Guimarães, Maria Martins, Paulo Nora, Mário Gonçalves, Gil |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rodrigues, Pedro Guimarães, Maria Martins, Paulo Nora, Mário Gonçalves, Gil |
description |
Background: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) is a technical demanding laparoscopic operation. Anastomotic leaks at the gastojejunostomy have been reported as a major factor in increased morbidity and mortality. Nonoperative treatment is possible only in less than half of those patients. Methods: Retrospectively collected data from 100 LRYGB performed at our institution from July 2004 to June 2006 was analyzed. Diagnosis of anastomotic leak was established when patients presented alimentary drainage from abdominal drain and proved after ingestion of water dyed with methylene blue. GI series with oral contrast were used to establish the location of the anastomotic leak. Results: Sevenpatientspresentedwithanastomoticleak.Allofthemhavebeendischargedfromthehospitalafewdaysearlierwith no complains. The common initial complain was alimentary drainage from the abdominal drain. All were treated nonoperative being nil per os with total parenteric nutrition and antibiotics when required. One was laparotomized because of gastrointestinal bleeding on the 4th day of nonoperative approach. Conclusions: Anastomotic leak from gastrojejunostomy is a major complication from LRYGB. Nonoperative treatment is possible in a large number of these patients. Placement and maintenance of an abdominal drain made possible early diagnosis and is probably one of the major factors for the success of nonoperative treatment. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-12-28 |
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://revista.spcir.com/index.php/spcir/article/view/275 |
url |
https://revista.spcir.com/index.php/spcir/article/view/275 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/275 https://revista.spcir.com/index.php/spcir/article/view/275/274 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 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 3 (2007): Dezembro 2007 - II Série; 41-46 Revista Portuguesa de Cirurgia; No 3 (2007): Dezembro 2007 - II Série; 41-46 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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