Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience

Objective The aim of this study was to assess the efficacy and safety of retrievable, self-expandable gastroesophageal stents to manage gastric leaks post sleeve gastrectomy by interventional radiology (IR). Methods This is a retrospective study of patients with gastric leaks post sleeve...

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Main Authors: Abdulmajeed Bin Dahmash, Mohammad Arabi, Aljabriyah Alfutais, Mohammed A. Alswayah, Shaker Alshehri, Refaat Salman, Yousof Al Zahrani, Mohammed Almoaiqel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-07-01
Series:The Arab Journal of Interventional Radiology
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742086
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author Abdulmajeed Bin Dahmash
Mohammad Arabi
Aljabriyah Alfutais
Mohammed A. Alswayah
Shaker Alshehri
Refaat Salman
Yousof Al Zahrani
Mohammed Almoaiqel
author_facet Abdulmajeed Bin Dahmash
Mohammad Arabi
Aljabriyah Alfutais
Mohammed A. Alswayah
Shaker Alshehri
Refaat Salman
Yousof Al Zahrani
Mohammed Almoaiqel
author_sort Abdulmajeed Bin Dahmash
collection DOAJ
description Objective The aim of this study was to assess the efficacy and safety of retrievable, self-expandable gastroesophageal stents to manage gastric leaks post sleeve gastrectomy by interventional radiology (IR). Methods This is a retrospective study of patients with gastric leaks post sleeve gastrectomy who were managed with gastroesophageal stent placement. The diameters of the stents ranged from 23 to 30 mm and the lengths 12.5 to 24 cm. Results Thirty-one patients (mean age, 32.4 ± 7.97 years) were included in the study, and 46 stents were placed. The total average stenting time was 59.1 ± 35.5 days. Leakage resolved in 93.5% of the patients. Thirty-eight (82.6%) of the stents were retrieved by IR, and the remaining stents were retrieved under endoscopic visualization. Stricture occurred as a complication in four patients: three of which were treated with stenting (one by IR and two by endoscopy) and one required esophagoplasty. Six patients experienced stent migration, three of which underwent stent adjustment, while the remaining three underwent stent reinsertion Conclusion Gastroesophageal stent placement by IR for gastric leaks post sleeve gastrectomy is safe and effective in our study.
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spelling doaj-art-84b51d46e53c471d8a788c4861ca18de2025-08-02T12:42:41ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832021-07-01050210210510.1055/s-0041-1742086Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology ExperienceAbdulmajeed Bin Dahmash0Mohammad Arabi1Aljabriyah Alfutais2Mohammed A. Alswayah3Shaker Alshehri4Refaat Salman5Yousof Al Zahrani6Mohammed Almoaiqel7Vascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaVascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi ArabiaObjective The aim of this study was to assess the efficacy and safety of retrievable, self-expandable gastroesophageal stents to manage gastric leaks post sleeve gastrectomy by interventional radiology (IR). Methods This is a retrospective study of patients with gastric leaks post sleeve gastrectomy who were managed with gastroesophageal stent placement. The diameters of the stents ranged from 23 to 30 mm and the lengths 12.5 to 24 cm. Results Thirty-one patients (mean age, 32.4 ± 7.97 years) were included in the study, and 46 stents were placed. The total average stenting time was 59.1 ± 35.5 days. Leakage resolved in 93.5% of the patients. Thirty-eight (82.6%) of the stents were retrieved by IR, and the remaining stents were retrieved under endoscopic visualization. Stricture occurred as a complication in four patients: three of which were treated with stenting (one by IR and two by endoscopy) and one required esophagoplasty. Six patients experienced stent migration, three of which underwent stent adjustment, while the remaining three underwent stent reinsertion Conclusion Gastroesophageal stent placement by IR for gastric leaks post sleeve gastrectomy is safe and effective in our study.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742086sleeve gastrectomy leakagegastric sleeve leakgastroesophageal stentminimally invasiveinterventional radiology
spellingShingle Abdulmajeed Bin Dahmash
Mohammad Arabi
Aljabriyah Alfutais
Mohammed A. Alswayah
Shaker Alshehri
Refaat Salman
Yousof Al Zahrani
Mohammed Almoaiqel
Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience
The Arab Journal of Interventional Radiology
sleeve gastrectomy leakage
gastric sleeve leak
gastroesophageal stent
minimally invasive
interventional radiology
title Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience
title_full Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience
title_fullStr Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience
title_full_unstemmed Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience
title_short Gastroesophageal Stents for the Management of Post Sleeve Gastrectomy Leakage: Interventional Radiology Experience
title_sort gastroesophageal stents for the management of post sleeve gastrectomy leakage interventional radiology experience
topic sleeve gastrectomy leakage
gastric sleeve leak
gastroesophageal stent
minimally invasive
interventional radiology
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742086
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