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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2021-07-01
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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. |
format | Article |
id | doaj-art-84b51d46e53c471d8a788c4861ca18de |
institution | Matheson Library |
issn | 2542-7075 2542-7083 |
language | English |
publishDate | 2021-07-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | The Arab Journal of Interventional Radiology |
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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