Management of anastomotic leaks after Roux-en-Y bypass using self-expanding polyester stents

Christopher A. Edwards, Phiet T. Bui, J. Andrés Astudillo, Roger A. de la Torre, Brent W. Miedema, Archana Ramaswamy, Nicole M. Fearing, Bruce Ramshaw, Klaus Thaler, J. Stephen Scott

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: To analyze the outcomes of a series of endoscopically placed polyester self-expanding polyflex stents (SEPSs) for the management of anastomotic leaks after Roux-en-Y bypass. Anastomotic leaks after gastric bypass cause significant morbidity and mortality. Covered polyester SEPSs might have a role in the treatment of these leaks. Methods: A retrospective chart review was performed from January 2006 to November 2006 that included all acute and chronic leaks treated with SEPSs. Results: A total of 6 patients were treated with stents, with a mean procedure time of 22 minutes. Of these 6 patients, 5 had acute postoperative leaks and 1 had a chronic fistula. Five patients started oral intake 1-6 days after their procedure. All acute leaks had complete healing at a median of 44 days. The patient with a chronic gastrocutaneous fistula required revisional surgery for fistula closure. In addition, 5 patients had stent migration, and 3 required stent replacement. Conclusion: An endoscopically placed SEPS provides a less-invasive alternative to treat acute anastomotic leaks after Roux-en-Y bypass while simultaneously allowing oral intake. The results of this case series have demonstrated this treatment to be safe and effective.

Original languageEnglish (US)
Pages (from-to)594-599
Number of pages6
JournalSurgery for Obesity and Related Diseases
Volume4
Issue number5
DOIs
StatePublished - Sep 1 2008
Externally publishedYes

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Anastomotic Leak
Polyesters
Stents
Fistula
Gastric Bypass
Morbidity
Mortality
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Edwards, C. A., Bui, P. T., Astudillo, J. A., de la Torre, R. A., Miedema, B. W., Ramaswamy, A., ... Scott, J. S. (2008). Management of anastomotic leaks after Roux-en-Y bypass using self-expanding polyester stents. Surgery for Obesity and Related Diseases, 4(5), 594-599. https://doi.org/10.1016/j.soard.2008.05.009

Management of anastomotic leaks after Roux-en-Y bypass using self-expanding polyester stents. / Edwards, Christopher A.; Bui, Phiet T.; Astudillo, J. Andrés; de la Torre, Roger A.; Miedema, Brent W.; Ramaswamy, Archana; Fearing, Nicole M.; Ramshaw, Bruce; Thaler, Klaus; Scott, J. Stephen.

In: Surgery for Obesity and Related Diseases, Vol. 4, No. 5, 01.09.2008, p. 594-599.

Research output: Contribution to journalArticle

Edwards, CA, Bui, PT, Astudillo, JA, de la Torre, RA, Miedema, BW, Ramaswamy, A, Fearing, NM, Ramshaw, B, Thaler, K & Scott, JS 2008, 'Management of anastomotic leaks after Roux-en-Y bypass using self-expanding polyester stents', Surgery for Obesity and Related Diseases, vol. 4, no. 5, pp. 594-599. https://doi.org/10.1016/j.soard.2008.05.009
Edwards, Christopher A. ; Bui, Phiet T. ; Astudillo, J. Andrés ; de la Torre, Roger A. ; Miedema, Brent W. ; Ramaswamy, Archana ; Fearing, Nicole M. ; Ramshaw, Bruce ; Thaler, Klaus ; Scott, J. Stephen. / Management of anastomotic leaks after Roux-en-Y bypass using self-expanding polyester stents. In: Surgery for Obesity and Related Diseases. 2008 ; Vol. 4, No. 5. pp. 594-599.
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