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BIBTEX RIS

Low-cost modified endoscopic vacuum therapy using a triple-lumen tube allows nutrition and drainage for treatment of an early post–bariatric surgery leak

2021; Thieme Medical Publishers (Germany); Volume: 54; Issue: 07 Linguagem: Inglês

10.1055/a-1540-5870

1438-8812

Diogo Turiani Hourneaux de Moura, Bruno Salomão Hirsch, Mateus Bond Boghossian, Flaubert Sena de Medeiros, Thomas R. McCarty, Christopher C. Thompson, Eduardo Guimarães Hourneaux de Moura,

Esophageal Cancer Research and Treatment

Leaks after laparoscopic sleeve gastrectomy (LSG) occur in up to 5 % of patients, with mortality rates approaching 4 % [1]. Among available therapies for leaks after bariatric surgery, endoscopic approaches have been shown to be safe and effective. Tissue sealants, cap-mounted clips, suturing, stents, a cardiac septal defect occluder, septotomy, endoscopic internal drainage with double pigtails, and endoscopic vacuum therapy (EVT) are the forefront of the therapeutic endoscopic arsenal [2] [3]. However, an individualized approach is needed to determine the best endoscopic treatment strategy for a given patient. In this video, we describe the successful treatment of a LSG leak using low-cost modified EVT.