mossjМосковский хирургический журналMoscow Surgical Journal2072-3180ООО «ПРОФИЛЬ – 2С»10.17238/issn2072-3180.2020.3.87-95mossj-410Research ArticleБАРИАТРИЧЕСКАЯ ХИРУРГИЯBARIATRIC SURGERYНЕСОСТОЯТЕЛЬНОСТЬ АППАРАТНОГО («СТЕПЛЕРНОГО») ШВА ПОСЛЕ ЛАПАРОСКОПИЧЕСКОЙ ПРОДОЛЬНОЙ РЕЗЕКЦИИ ЖЕЛУДКА. ОБЗОР ЛИТЕРАТУРЫLEAK OF THE STAPLER LINE AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY. LITERATURE REVIEWhttps://orcid.org/0000-0001-5519-0014КовалевА. А.KovalevA. A.

Ковалев Александр Андреевич — врач-хирург отделения хирургических методов лечения онкологических больных

197341, СанктПетербург, ул. Аккуратова, д. 2

Kovalev Aleksandr Andreevich — surgeon of the Department of surgical methods of treatment of cancer patients

2 Akkuratov street, 197341 St. Petersburg

yathr@mail.ruhttps://orcid.org/0000-0003-3454-4690КорнюшинО. В.KornyushinO. V.

Корнюшин Олег Викторович — кандидат медицинских наук, врач-хирург отделения хирургических методов лечения онкологических больных

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Kornyushin Oleg V. — PhD in Medicine, surgeon of the Department of surgical methods of treatment of cancer patients

2 Akkuratov street, 197341 St. Petersburg

o.kornyushin@gmail.comhttps://orcid.org/0000-0002-1278-0986МаслейВ. В.MasleiV.

Маслей Виталий Васильевич — ординатор по хирургии

197341, СанктПетербург, ул. Аккуратова, д. 2

Maslei Vitalii, surgical resident

2 Akkuratov street, 197341 St. Petersburg

vitalijmaslej04@gmail.comБулавиноваН. И.BulavinovaN.

Булавинова Ника Иннокентьевна — медицинская сестра

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Bulavinova Nika — nurse

2 Akkuratov street, 197341 St. Petersburg

doctor-niks@mail.ruСолоницынЕ. Г.SolonitsynE. G.

Солоницын Евгений Геннадьевич — заведующий эндоскопическим отделением

197341, ул. Аккуратова, 2, Санкт-Петербург

Solonitsyn Evgenii G., PhD in Medicine — Head of endoscopy department

2 Akkuratov street, 197341 St. Petersburg

eLibrary SPIN-код: 1112-6559

sevgen@mail.ruhttps://orcid.org/0000-0003-4925-0126НеймаркА. Е.NeimarkA. E.

Неймарк Александр Евгеньевич — кандидат медицинских наук, ведущий научный сотрудник НИЛ «Хирургии метаболических нарушений», eLibrary SPIN: 6554-3217

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Neimark Aleksandr E. — MD, PhD in Medicine

2 Akkuratov street, 197341 St. Petersburg

eLibrary SPIN: 6554-3217

sas_spb@mail.ruhttps://orcid.org/0000-0001-9540-7812ДаниловИ. Н.DanilovI. N.

Данилов Иван Николаевич — кандидат медицинских наук, заведующий отделением хирургических методов лечения онкологических больных

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Danilov Ivan N. — PhD in Medicine, Head of the Department of surgical methods of treatment of cancer patients

2 Akkuratov street, 197341 St. Petersburg

ivandanilov75@mail.ruФГБУ «НМИЦ им. В.А. Алмазова» Минздрава РоссииРоссия«Almazov National Medical Research Centre»Russian Federation202025122020038795Copyright © Ковалев А.А., Корнюшин О.В., Маслей В.В., Булавинова Н.И., Солоницын Е.Г., Неймарк А.Е., Данилов И.Н., 20202020Ковалев А.А., Корнюшин О.В., Маслей В.В., Булавинова Н.И., Солоницын Е.Г., Неймарк А.Е., Данилов И.Н.Kovalev A.A., Kornyushin O.V., Maslei V., Bulavinova N., Solonitsyn E.G., Neimark A.E., Danilov I.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.mossj.ru/jour/article/view/410

Последние 10 лет отмечается экспоненциальный рост количества пациентов, страдающих ожирением. В большинстве стран более 30% населения имеет избыточную массу тела и ожирение. Сегодня наиболее эффективным методом лечения морбидного ожирения является бариатрическая хирургия. Число выполняющихся ежегодно бариатрических вмешательств неуклонно растет и на сегодняшний день превышает 760 тысяч в год. На протяжении последних 7 лет наиболее часто выполняемой бариатрической операцией стала лапароскопическая продольная резекция желудка. Несмотря на накопленный опыт в выполнении бариатрических вмешательств, постоянное совершенствование аппаратных технологий соединения тканей, осложнения после бариатрических операций, по-прежнему, встречаются в хирургической практике. Одним из наиболее грозных осложнений после выполнения лапароскопической продольной резекции желудка является развитие несостоятельности аппаратного шва. В статье представлены современные взгляды на причины, диагностику профилактику и тактику лечения пациентов с несостоятельностью аппаратного шва.

The last 10 years have seen an exponential increase in the number of obese patients. In most countries, over 30% of the population is overweight and obese. Bariatric surgery is the most effective treatment for morbid obesity today. The number of bariatric interventions performed annually is growing and today exceeds 760 thousand per year. Over the past 7 years, the most commonly performed bariatric surgery has been laparoscopic sleeve gastrectomy. Despite the huge experience in bariatric surgery and the continuous improvement of staplers and dissections tissue technologies the complications still exists. The most serious complication after performing a laparoscopic sleeve gastrectomy is a leak of staple line. The article presents current view on the causes, diagnosis, prevention and treatment tactics for patients with the leak after sleeve gastrectomy.

бариатрическая хирургияпродольная резекция желудканесостоятельность швааппаратный шовосложнения продольной резекции желудкаbariatric surgerysleeve gastrectomystapler line leaksleeve gastrectomy complicationReferencesFinucane M.M., Stevens G.A., Cowan M.J., Danaei G., Lin J.K, Paciorek C.J., Singh G.M., Gutierrez H.R., Lu Y., Bahalim A.N., Farzadfar F., Riley L.M., Ezzati M. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. Lancet (London, England), 2011, 377 (9765), pp. 557–567. https://doi.org/10.1016/S0140-6736(10)62037-5Finucane M.M., Stevens G.A., Cowan M.J., Danaei G., Lin J.K, Paciorek C.J., Singh G.M., Gutierrez H.R., Lu Y., Bahalim A.N., Farzadfar F., Riley L.M., Ezzati M. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. Lancet (London, England), 2011, 377 (9765), pp. 557–567. https://doi.org/10.1016/S0140-6736(10)62037-5Angrisani L., Santonicola A., Iovino P., Vitiello A., Higa K., Himpens J., Buchwald H., Scopinaro N. IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obes. Surg., 2018, Dec.; 28 (12), pp. 3783–3794. https://doi.org/10.1007/s11695-018-3450-2. PMID: 30121858.Angrisani L., Santonicola A., Iovino P., Vitiello A., Higa K., Himpens J., Buchwald H., Scopinaro N. IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obes. Surg., 2018, Dec.; 28 (12), pp. 3783–3794. https://doi.org/10.1007/s11695-018-3450-2. PMID: 30121858.Regan J.P., Inabnet W.B., Gagner M. Early experience with twostage laparoscopic Roux-en-Y gastric bypass as an alternative in the supersuper obese patient. Obesity surgery, 2003, 13 (6), pp. 861–864. https://doi.org/10.1381/096089203322618669Regan J.P., Inabnet W.B., Gagner M. Early experience with twostage laparoscopic Roux-en-Y gastric bypass as an alternative in the supersuper obese patient. Obesity surgery, 2003, 13 (6), pp. 861–864. https://doi.org/10.1381/096089203322618669Tucker O.N., Szomstein S., Rosenthal R.J. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract, 2008, 12 (4), pp. 662–667. https://doi.org/10.1007/s11605-008-0480-4Tucker O.N., Szomstein S., Rosenthal R.J. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract, 2008, 12 (4), pp. 662–667. https://doi.org/10.1007/s11605-008-0480-4Csendes A., Braghetto I., León P., Burgos A.M. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010, 14 (9), pp. 1343–1348. https://doi.org/10.1007/s11605-010-1249-0Csendes A., Braghetto I., León P., Burgos A.M. Management of leaks after laparoscopic sleeve gastrectomy in patients with obesity. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010, 14 (9), pp. 1343–1348. https://doi.org/10.1007/s11605-010-1249-0Bransen J., Gilissen L.P., van Rutte P.W., Nienhuijs S.W. Costs of Leaks and Bleeding After Sleeve Gastrectomies. Obesity surgery, 2015, 25 (10), pp. 1767–1771. https://doi.org/10.1007/s11695-015-1584-zBransen J., Gilissen L.P., van Rutte P.W., Nienhuijs S.W. Costs of Leaks and Bleeding After Sleeve Gastrectomies. Obesity surgery, 2015, 25 (10), pp. 1767–1771. https://doi.org/10.1007/s11695-015-1584-zCampanile F.C., Boru C.E., Rizzello M., Puzziello A., Copaescu C., Cavallaro G., Silecchia G. Acute complications after laparoscopic bariatric procedures: update for the general surgeon. Langenbeck’s archives of surgery, 2013, 398 (5), pp. 669–686. https://doi.org/10.1007/s00423-013-1077-2Campanile F.C., Boru C.E., Rizzello M., Puzziello A., Copaescu C., Cavallaro G., Silecchia G. Acute complications after laparoscopic bariatric procedures: update for the general surgeon. Langenbeck’s archives of surgery, 2013, 398 (5), pp. 669–686. https://doi.org/10.1007/s00423-013-1077-2Arias E., Martínez P.R., Ka Ming Li V., Szomstein S., Rosenthal R.J. Mid-term follow-up after sleeve gastrectomy as a final approach for morbid obesity. Obesity surgery, 2009, 19 (5), pp. 544–548. https://doi.org/10.1007/s11695-009-9818-6Arias E., Martínez P.R., Ka Ming Li V., Szomstein S., Rosenthal R.J. Mid-term follow-up after sleeve gastrectomy as a final approach for morbid obesity. Obesity surgery, 2009, 19 (5), pp. 544–548. https://doi.org/10.1007/s11695-009-9818-6Tagaya N., Kasama K., Kikkawa R. et al. Experience with Laparoscopic Sleeve Gastrectomy for Morbid Versus Super Morbid Obesity. OBES. SURG., 2009, 19, pp. 1371–1376. https://doi.org/10.1007/s11695-008-9774-6Tagaya N., Kasama K., Kikkawa R. et al. Experience with Laparoscopic Sleeve Gastrectomy for Morbid Versus Super Morbid Obesity. OBES. SURG., 2009, 19, pp. 1371–1376. https://doi.org/10.1007/s11695-008-9774-6Guerron A.D., Ortega C.B. Portenier D. Endoscopic Abscess Septotomy for Management of Sleeve Gastrectomy Leak. OBES. SURG., 2017, 27, pp. 2672–2674. https://doi.org/10.1007/s11695-017-2809-0Guerron A.D., Ortega C.B. Portenier D. Endoscopic Abscess Septotomy for Management of Sleeve Gastrectomy Leak. OBES. SURG., 2017, 27, pp. 2672–2674. https://doi.org/10.1007/s11695-017-2809-0Aminian A., Brethauer S.A., Sharafkhah M., Schauer P.R. Development of a sleeve gastrectomy risk calculator. Surg. Obes. Relat. Dis., 2015, 11 (4), pp. 758–764. https://doi.org/10.1016/j.soard.2014.12.012Aminian A., Brethauer S.A., Sharafkhah M., Schauer P.R. Development of a sleeve gastrectomy risk calculator. Surg. Obes. Relat. Dis., 2015, 11 (4), pp. 758–764. https://doi.org/10.1016/j.soard.2014.12.012Stroh C., Köckerling F., Volker L., Frank B., Stefanie W., Christian K., Christiane B., Thomas M., Results of More Than 11,800 Sleeve Gastrectomies: Data Analysis of the German Bariatric Surgery Registry. Annals of surgery, 2016, 263 (5), pp. 949–955. https://doi.org/10.1097/SLA.0000000000001559Stroh C., Köckerling F., Volker L., Frank B., Stefanie W., Christian K., Christiane B., Thomas M., Results of More Than 11,800 Sleeve Gastrectomies: Data Analysis of the German Bariatric Surgery Registry. Annals of surgery, 2016, 263 (5), pp. 949–955. https://doi.org/10.1097/SLA.0000000000001559Aurora A.R., Khaitan L., Saber A.A. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surgical endoscopy, 2012, 26 (6), pp. 1509–1515. https://doi.org/10.1007/s00464-011-2085-3Aurora A.R., Khaitan L., Saber A.A. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surgical endoscopy, 2012, 26 (6), pp. 1509–1515. https://doi.org/10.1007/s00464-011-2085-3Clinical Issues Committee of American Society for Metabolic and Bariatric Surgery (2007). Sleeve gastrectomy as a bariatric procedure. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2007, 3 (6), 573–576. https://doi.org/10.1016/j.soard.2007.06.009Clinical Issues Committee of American Society for Metabolic and Bariatric Surgery (2007). Sleeve gastrectomy as a bariatric procedure. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2007, 3 (6), 573–576. https://doi.org/10.1016/j.soard.2007.06.009Gagner M. Decreased incidence of leaks after sleeve gastrectomy and improved treatments. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (4), pp. 611–612. https://doi.org/10.1016/j.soard.2014.04.002Gagner M. Decreased incidence of leaks after sleeve gastrectomy and improved treatments. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (4), pp. 611–612. https://doi.org/10.1016/j.soard.2014.04.002Dumon K.R., Murayama K.M. Bariatric surgery outcomes. The Surgical clinics of North America, 2011, 91 (6), pp. 1313–x. https://doi.org/10.1016/j.suc.2011.08.014Dumon K.R., Murayama K.M. Bariatric surgery outcomes. The Surgical clinics of North America, 2011, 91 (6), pp. 1313–x. https://doi.org/10.1016/j.suc.2011.08.014Pories W.J. Bariatric surgery: risks and rewards. The Journal of clinical endocrinology and metabolism, 2008, 93 (11 Suppl. 1), pp. S89–S96. https://doi.org/10.1210/jc.2008-1641Pories W.J. Bariatric surgery: risks and rewards. The Journal of clinical endocrinology and metabolism, 2008, 93 (11 Suppl. 1), pp. S89–S96. https://doi.org/10.1210/jc.2008-1641Thomas H., Agrawal S. Systematic review of obesity surgery mortality risk score--preoperative risk stratification in bariatric surgery. Obesity surgery, 2012, 22 (7), pp. 1135–1140. https://doi.org/10.1007/s11695-012-0663-7Thomas H., Agrawal S. Systematic review of obesity surgery mortality risk score--preoperative risk stratification in bariatric surgery. Obesity surgery, 2012, 22 (7), pp. 1135–1140. https://doi.org/10.1007/s11695-012-0663-7Natoudi M., Theodorou D., Papalois A., Drymousis P., Alevizos L., Katsaragakis S., Zografos G., Leandros E., Menenakos E. Does tissue ischemia actually contribute to leak after sleeve gastrectomy? An experimental study. Obesity surgery, 2014, 24(5), pp. 675–683. https://doi.org/10.1007/s11695-013-1156-zNatoudi M., Theodorou D., Papalois A., Drymousis P., Alevizos L., Katsaragakis S., Zografos G., Leandros E., Menenakos E. Does tissue ischemia actually contribute to leak after sleeve gastrectomy? An experimental study. Obesity surgery, 2014, 24(5), pp. 675–683. https://doi.org/10.1007/s11695-013-1156-zBaker R.S., Foote J., Kemmeter P., Brady R., Vroegop T., Serveld M. The science of stapling and leaks. Obesity surgery, 2004, 14 (10), pp. 1290–1298. https://doi.org/10.1381/0960892042583888Baker R.S., Foote J., Kemmeter P., Brady R., Vroegop T., Serveld M. The science of stapling and leaks. Obesity surgery, 2004, 14 (10), pp. 1290–1298. https://doi.org/10.1381/0960892042583888Márquez M.F., Ayza M.F., Lozano R.B., Morales M., Díez J.M., Poujoulet R.B. Gastric leak after laparoscopic sleeve gastrectomy. Obesity surgery, 2010, 20(9), pp. 1306–1311. https://doi.org/10.1007/s11695-010-0219-7Márquez M.F., Ayza M.F., Lozano R.B., Morales M., Díez J.M., Poujoulet R.B. Gastric leak after laparoscopic sleeve gastrectomy. Obesity surgery, 2010, 20(9), pp. 1306–1311. https://doi.org/10.1007/s11695-010-0219-7Burgos A.M., Braghetto I., Csendes A., Maluenda F., Korn O., Yarmuch J., Gutierrez L. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obesity surgery, 2009, 19 (12), pp. 1672–1677. https://doi.org/10.1007/s11695-009-9884-9Burgos A.M., Braghetto I., Csendes A., Maluenda F., Korn O., Yarmuch J., Gutierrez L. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obesity surgery, 2009, 19 (12), pp. 1672–1677. https://doi.org/10.1007/s11695-009-9884-9Csendes A., Burdiles P., Burgos A.M., Maluenda F., Diaz J.C. Conservative management of anastomotic leaks after 557 open gas tric bypasses. Obesity surgery, 2005, 15 (9), pp. 1252–1256. https://doi.org/10.1381/096089205774512410Csendes A., Burdiles P., Burgos A.M., Maluenda F., Diaz J.C. Conservative management of anastomotic leaks after 557 open gas tric bypasses. Obesity surgery, 2005, 15 (9), pp. 1252–1256. https://doi.org/10.1381/096089205774512410Husain F., Jeong I.H., Spight D., Wolfe B., Mattar S.G. Risk factors for early postoperative complications after bariatric surgery. Annals of surgical treatment and research, 2018, 95 (2), pp. 100–110. https://doi.org/10.4174/astr.2018.95.2.100Husain F., Jeong I.H., Spight D., Wolfe B., Mattar S.G. Risk factors for early postoperative complications after bariatric surgery. Annals of surgical treatment and research, 2018, 95 (2), pp. 100–110. https://doi.org/10.4174/astr.2018.95.2.100Rosenthal R.J., Diaz A.A., Arvidsson D., Baker R.S., Basso N., Bellanger D., Boza C., El Mourad H., France M., Gagner M., Galvao-Neto M., Higa K. D., Himpens J., Hutchinson C.M., Jacobs M., Jorgensen J.O., Jossart G., Lakdawala M., Nguyen N. T., Zundel N. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2012, 8 (1), pp. 8–19. https://doi.org/10.1016/j.soard.2011.10.019Rosenthal R.J., Diaz A.A., Arvidsson D., Baker R.S., Basso N., Bellanger D., Boza C., El Mourad H., France M., Gagner M., Galvao-Neto M., Higa K. D., Himpens J., Hutchinson C.M., Jacobs M., Jorgensen J.O., Jossart G., Lakdawala M., Nguyen N. T., Zundel N. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2012, 8 (1), pp. 8–19. https://doi.org/10.1016/j.soard.2011.10.019Consten E.C., Gagner M., Pomp A., Inabnet W.B. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obesity surgery, 2004, 14 (10), pp. 1360–1366. https://doi.org/10.1381/0960892042583905Consten E.C., Gagner M., Pomp A., Inabnet W.B. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obesity surgery, 2004, 14 (10), pp. 1360–1366. https://doi.org/10.1381/0960892042583905Sakran N., Goitein D., Raziel A., Keidar A., Beglaibter N., Grinbaum R., Matter I., Alfici R., Mahajna A., Waksman I., Shimonov M., Assalia A. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients. Surgical endoscopy, 2013, 27 (1), 240–245. https://doi.org/10.1007/s00464-012-2426-xSakran N., Goitein D., Raziel A., Keidar A., Beglaibter N., Grinbaum R., Matter I., Alfici R., Mahajna A., Waksman I., Shimonov M., Assalia A. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients. Surgical endoscopy, 2013, 27 (1), 240–245. https://doi.org/10.1007/s00464-012-2426-xCampanile F.C., Boru C.E., Rizzello M., Puzziello A., Copaescu C., Cavallaro G., Silecchia G. Acute complications after laparoscopic bariatric procedures: update for the general surgeon. Langenbeck’s archives of surgery, 2013, 398 (5), pp. 669–686. https://doi.org/10.1007/s00423-013-1077-2Campanile F.C., Boru C.E., Rizzello M., Puzziello A., Copaescu C., Cavallaro G., Silecchia G. Acute complications after laparoscopic bariatric procedures: update for the general surgeon. Langenbeck’s archives of surgery, 2013, 398 (5), pp. 669–686. https://doi.org/10.1007/s00423-013-1077-2Gagner M., Buchwald J. Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (4), pp. 713–723. https://doi.org/10.1016/j.soard.2014.01.016Gagner M., Buchwald J. Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (4), pp. 713–723. https://doi.org/10.1016/j.soard.2014.01.016Sethi M., Zagzag J., Patel K., Magrath M., Somoza E., Parikh M.S., Saunders J.K., Ude-Welcome A., Schwack B.F., Kurian M.S., Fielding G.A., Ren-Fielding C.J. Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy. Surgical endoscopy, 2016, 30 (3), pp. 883–891. https://doi.org/10.1007/s00464-015-4286-7Sethi M., Zagzag J., Patel K., Magrath M., Somoza E., Parikh M.S., Saunders J.K., Ude-Welcome A., Schwack B.F., Kurian M.S., Fielding G.A., Ren-Fielding C.J. Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy. Surgical endoscopy, 2016, 30 (3), pp. 883–891. https://doi.org/10.1007/s00464-015-4286-7Mizrahi I., Tabak A., Grinbaum R., Beglaibter N., Eid A., Simanovsky N., Hiller N. The utility of routine postoperative upper gastrointestinal swallow studies following laparoscopic sleeve gastrectomy. Obesity surgery, 2014, 24 (9), pp. 1415–1419. https://doi.org/10.1007/s11695-014-1243-9Mizrahi I., Tabak A., Grinbaum R., Beglaibter N., Eid A., Simanovsky N., Hiller N. The utility of routine postoperative upper gastrointestinal swallow studies following laparoscopic sleeve gastrectomy. Obesity surgery, 2014, 24 (9), pp. 1415–1419. https://doi.org/10.1007/s11695-014-1243-9Musella M., Cantoni V., Green R., Acampa W., Velotti N., Maietta P., Cuocolo A. Efficacy of Postoperative Upper Gastrointestinal Series (UGI) and Computed Tomography (CT) Scan in Bariatric Surgery: a Meta-analysis on 7516 Patients. Obesity surgery, 2018, 28 (8), pp. 2396–2405. https://doi.org/10.1007/s11695-018-3172-5Musella M., Cantoni V., Green R., Acampa W., Velotti N., Maietta P., Cuocolo A. Efficacy of Postoperative Upper Gastrointestinal Series (UGI) and Computed Tomography (CT) Scan in Bariatric Surgery: a Meta-analysis on 7516 Patients. Obesity surgery, 2018, 28 (8), pp. 2396–2405. https://doi.org/10.1007/s11695-018-3172-5Rahman U., Docimo S., Pryor A.D., Bates A., Obeid N.R., Spaniolas K. Routine contrast imaging after bariatric surgery and the effect on hospital length of stay. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2018, 14 (4), pp. 517–520. https://doi.org/10.1016/j.soard.2017.12.023Rahman U., Docimo S., Pryor A.D., Bates A., Obeid N.R., Spaniolas K. Routine contrast imaging after bariatric surgery and the effect on hospital length of stay. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2018, 14 (4), pp. 517–520. https://doi.org/10.1016/j.soard.2017.12.023Gonzalez R., Nelson L.G., Gallagher S.F., Murr M.M. Anastomotic leaks after laparoscopic gastric bypass. Obesity surgery, 2004, 14 (10), pp. 1299–1307. https://doi.org/10.1381/0960892042583978Gonzalez R., Nelson L.G., Gallagher S.F., Murr M.M. Anastomotic leaks after laparoscopic gastric bypass. Obesity surgery, 2004, 14 (10), pp. 1299–1307. https://doi.org/10.1381/0960892042583978Ballesta C., Berindoague R., Cabrera M., Palau M., Gonzales M. Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass. Obesity surgery, 2008, 18 (6), pp. 623–630. https://doi.org/10.1007/s11695-007-9297-6Ballesta C., Berindoague R., Cabrera M., Palau M., Gonzales M. Management of anastomotic leaks after laparoscopic Roux-en-Y gastric bypass. Obesity surgery, 2008, 18 (6), pp. 623–630. https://doi.org/10.1007/s11695-007-9297-6Casella G., Soricelli E., Rizzello M., Trentino P., Fiocca F., Fantini A., Salvatori F.M., Basso N. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obesity surgery, 2009, 19 (7), pp. 821–826. https://doi.org/10.1007/s11695-009-9840-8Casella G., Soricelli E., Rizzello M., Trentino P., Fiocca F., Fantini A., Salvatori F.M., Basso N. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obesity surgery, 2009, 19 (7), pp. 821–826. https://doi.org/10.1007/s11695-009-9840-8Monkhouse S.J., Morgan J.D., Norton S.A. Complications of bariatric surgery: presentation and emergency management--a review. Annals of the Royal College of Surgeons of England, 2009, 91 (4), pp. 280–286. https://doi.org/10.1308/003588409X392072Monkhouse S.J., Morgan J.D., Norton S.A. Complications of bariatric surgery: presentation and emergency management--a review. Annals of the Royal College of Surgeons of England, 2009, 91 (4), pp. 280–286. https://doi.org/10.1308/003588409X392072Moszkowicz D., Arienzo R., Khettab I., Rahmi G., Zinzindohoué F., Berger A., Chevallier, J.M. Sleeve gastrectomy severe complications: is it always a reasonable surgical option? Obesity surgery, 2013, 23 (5), pp. 676–686. https://doi.org/10.1007/s11695-012-0860-4Moszkowicz D., Arienzo R., Khettab I., Rahmi G., Zinzindohoué F., Berger A., Chevallier, J.M. Sleeve gastrectomy severe complications: is it always a reasonable surgical option? Obesity surgery, 2013, 23 (5), pp. 676–686. https://doi.org/10.1007/s11695-012-0860-4Sarkhosh K., Birch D.W., Sharma A., Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Canadian journal of surgery. Journal canadien de chirurgie, 2013, 56 (5), pp. 347–352. https://doi.org/10.1503/cjs.033511Sarkhosh K., Birch D.W., Sharma A., Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Canadian journal of surgery. Journal canadien de chirurgie, 2013, 56 (5), pp. 347–352. https://doi.org/10.1503/cjs.033511Baltasar A., Serra C., Bengochea M., Bou R., Andreo L. Use of Roux limb as remedial surgery for sleeve gastrectomy fistulas. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2008, 4 (6), pp. 759–763. https://doi.org/10.1016/j.soard.2008.07.012Baltasar A., Serra C., Bengochea M., Bou R., Andreo L. Use of Roux limb as remedial surgery for sleeve gastrectomy fistulas. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2008, 4 (6), pp. 759–763. https://doi.org/10.1016/j.soard.2008.07.012Deitel M., Crosby R.D., Gagner M. The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obesity surgery, 2008, 18 (5), pp. 487–496. https://doi.org/10.1007/s11695-008-9471-5Deitel M., Crosby R.D., Gagner M. The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obesity surgery, 2008, 18 (5), pp. 487–496. https://doi.org/10.1007/s11695-008-9471-5Chour M., Alami R.S., Sleilaty F., Wakim R. The early use of Roux limb as surgical treatment for proximal postsleeve gastrectomy leaks. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (1), pp. 106–110. https://doi.org/10.1016/j.soard.2013.08.017Chour M., Alami R.S., Sleilaty F., Wakim R. The early use of Roux limb as surgical treatment for proximal postsleeve gastrectomy leaks. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (1), pp. 106–110. https://doi.org/10.1016/j.soard.2013.08.017Vilallonga R., Himpens J., van de Vrande S. Laparoscopic Roux limb placement for the management of chronic proximal fistulas after sleeve gastrectomy: technical aspects. Surgical endoscopy, 2015, 29 (2), pp. 414–416. https://doi.org/10.1007/s00464-014-3684-6Vilallonga R., Himpens J., van de Vrande S. Laparoscopic Roux limb placement for the management of chronic proximal fistulas after sleeve gastrectomy: technical aspects. Surgical endoscopy, 2015, 29 (2), pp. 414–416. https://doi.org/10.1007/s00464-014-3684-6Ramos A.C., Ramos M.G., Campos J.M., Galvão Neto M., Bastos E.L. Laparoscopic total gastrectomy as an alternative treatment to postsleeve chronic fistula. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2015, 11 (3), pp. 552–556. https://doi.org/10.1016/j.soard.2014.10.021Ramos A.C., Ramos M.G., Campos J.M., Galvão Neto M., Bastos E.L. Laparoscopic total gastrectomy as an alternative treatment to postsleeve chronic fistula. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2015, 11 (3), pp. 552–556. https://doi.org/10.1016/j.soard.2014.10.021van de Vrande S., Himpens J., El Mourad H., Debaerdemaeker R., Leman G. Management of chronic proximal fistulas after sleeve gastrectomy by laparoscopic Roux-limb placement. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2013, 9 (6), pp. 856–861. https://doi.org/10.1016/j.soard.2013.01.003van de Vrande S., Himpens J., El Mourad H., Debaerdemaeker R., Leman G. Management of chronic proximal fistulas after sleeve gastrectomy by laparoscopic Roux-limb placement. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2013, 9 (6), pp. 856–861. https://doi.org/10.1016/j.soard.2013.01.003Amor I.B., Debs T., Dalmonte G., Kassir R., Baqué P., Petrucciani N., Gugenheim J. Laparoscopic Roux-En-Y Fistulo-Jejunostomy, a Preferred Technique after Failure of Endoscopic and Radiologic Management of Fistula Post Sleeve Gastrectomy. Obesity surgery, 2019, 29 (2), pp. 749–750. https://doi.org/10.1007/s11695-018-03644-zAmor I.B., Debs T., Dalmonte G., Kassir R., Baqué P., Petrucciani N., Gugenheim J. Laparoscopic Roux-En-Y Fistulo-Jejunostomy, a Preferred Technique after Failure of Endoscopic and Radiologic Management of Fistula Post Sleeve Gastrectomy. Obesity surgery, 2019, 29 (2), pp. 749–750. https://doi.org/10.1007/s11695-018-03644-zDonatelli G., Guerriero L., Cereatti F., Arapis K., Dammaro C., Dumont J.L., Fuks D., Perretta S. Endoscopic Fistula-jejunostomy for Chronic Gastro-jejunal Fistula After Sleeve Gastrectomy. Obesity surgery, 2018, 28 (5), pp. 1456–1457. https://doi.org/10.1007/s11695-018-3193-0Donatelli G., Guerriero L., Cereatti F., Arapis K., Dammaro C., Dumont J.L., Fuks D., Perretta S. Endoscopic Fistula-jejunostomy for Chronic Gastro-jejunal Fistula After Sleeve Gastrectomy. Obesity surgery, 2018, 28 (5), pp. 1456–1457. https://doi.org/10.1007/s11695-018-3193-0van Boeckel P.G., Dua K.S., Weusten B.L., Schmits R.J., Surapaneni N., Timmer R., Vleggaar F.P., Siersema P.D. Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. BMC gastroenterology, 2012, 12, pp. 19. https://doi.org/10.1186/1471-230X-12-19van Boeckel P.G., Dua K.S., Weusten B.L., Schmits R.J., Surapaneni N., Timmer R., Vleggaar F.P., Siersema P.D. Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. BMC gastroenterology, 2012, 12, pp. 19. https://doi.org/10.1186/1471-230X-12-19Leenders B.J., Stronkhorst A., Smulders F.J., Nieuwenhuijzen G.A., Gilissen L.P. Removable and repositionable covered metal self-expandable stents for leaks after upper gastrointestinal surgery: experiences in a tertiary referral hospital. Surgical endoscopy, 2013, 27 (8), pp. 2751–2759. https://doi.org/10.1007/s00464-013-2802-1Leenders B.J., Stronkhorst A., Smulders F.J., Nieuwenhuijzen G.A., Gilissen L.P. Removable and repositionable covered metal self-expandable stents for leaks after upper gastrointestinal surgery: experiences in a tertiary referral hospital. Surgical endoscopy, 2013, 27 (8), pp. 2751–2759. https://doi.org/10.1007/s00464-013-2802-1Puli S.R., Spofford I.S., Thompson C.C. Use of self-expandable stents in the treatment of bariatric surgery leaks: a systematic review and meta-analysis. Gastrointestinal endoscopy, 2012, 75 (2), pp. 287–293. https://doi.org/10.1016/j.gie.2011.09.010Puli S.R., Spofford I.S., Thompson C.C. Use of self-expandable stents in the treatment of bariatric surgery leaks: a systematic review and meta-analysis. Gastrointestinal endoscopy, 2012, 75 (2), pp. 287–293. https://doi.org/10.1016/j.gie.2011.09.010Eisendrath P., Cremer M., Himpens J., Cadière G.B., Le Moine O., Devière J. Endotherapy including temporary stenting of fistulas of the upper gastrointestinal tract after laparoscopic bariatric surgery. Endoscopy, 2007, 39 (7), pp. 625–630. https://doi.org/10.1055/s-2007-966533Eisendrath P., Cremer M., Himpens J., Cadière G.B., Le Moine O., Devière J. Endotherapy including temporary stenting of fistulas of the upper gastrointestinal tract after laparoscopic bariatric surgery. Endoscopy, 2007, 39 (7), pp. 625–630. https://doi.org/10.1055/s-2007-966533Alazmi W., Al-Sabah S., Ali D.A., Almazeedi S. Treating sleeve gastrectomy leak with endoscopic stenting: the Kuwaiti experience and review of recent literature. Surgical endoscopy, 2014, 28 (12), pp. 3425–3428. https://doi.org/10.1007/s00464-014-3616-5Alazmi W., Al-Sabah S., Ali D.A., Almazeedi S. Treating sleeve gastrectomy leak with endoscopic stenting: the Kuwaiti experience and review of recent literature. Surgical endoscopy, 2014, 28 (12), pp. 3425–3428. https://doi.org/10.1007/s00464-014-3616-5Puig C.A., Waked T.M., Baron T.H.Sr., Wong Kee Song L.M., Gutierrez J., Sarr M.G. The role of endoscopic stents in the management of chronic anastomotic and staple line leaks and chronic strictures after bariatric surgery. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (4), pp. 613–617. https://doi.org/10.1016/j.soard.2013.12.018Puig C.A., Waked T.M., Baron T.H.Sr., Wong Kee Song L.M., Gutierrez J., Sarr M.G. The role of endoscopic stents in the management of chronic anastomotic and staple line leaks and chronic strictures after bariatric surgery. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2014, 10 (4), pp. 613–617. https://doi.org/10.1016/j.soard.2013.12.018Galloro G., Ruggiero S., Russo T., Telesca D.A., Musella M., Milone M., Manta R. Staple-line leak after sleve gastrectomy in obese patients: A hot topic in bariatric surgery. World journal of gastrointestinal endoscopy, 2015, 7 (9), pp. 843–846. https://doi.org/10.4253/wjge.v7.i9.843Galloro G., Ruggiero S., Russo T., Telesca D.A., Musella M., Milone M., Manta R. Staple-line leak after sleve gastrectomy in obese patients: A hot topic in bariatric surgery. World journal of gastrointestinal endoscopy, 2015, 7 (9), pp. 843–846. https://doi.org/10.4253/wjge.v7.i9.843Nedelcu M., Manos T., Cotirlet A., Noel P., Gagner M. Outcome of leaks after sleeve gastrectomy based on a new algorithm adressing leak size and gastric stenosis. Obesity surgery, 2015, 25 (3), pp. 559–563. https://doi.org/10.1007/s11695-014-1561-yNedelcu M., Manos T., Cotirlet A., Noel P., Gagner M. Outcome of leaks after sleeve gastrectomy based on a new algorithm adressing leak size and gastric stenosis. Obesity surgery, 2015, 25 (3), pp. 559–563. https://doi.org/10.1007/s11695-014-1561-yDonatelli G., Dumont J.L., Cereatti F., Ferretti S., Vergeau B.M., Tuszynski T., Pourcher G., Tranchart H., Mariani P., Meduri A., Catheline J.M., Dagher I., Fiocca F., Marmuse J.P., Meduri B. Treatment of Leaks Following Sleeve Gastrectomy by Endoscopic Internal Drainage (EID). Obesity surgery, 2015, 25 (7), pp. 1293–1301. https://doi.org/10.1007/s11695-015-1675-xDonatelli G., Dumont J.L., Cereatti F., Ferretti S., Vergeau B.M., Tuszynski T., Pourcher G., Tranchart H., Mariani P., Meduri A., Catheline J.M., Dagher I., Fiocca F., Marmuse J.P., Meduri B. Treatment of Leaks Following Sleeve Gastrectomy by Endoscopic Internal Drainage (EID). Obesity surgery, 2015, 25 (7), pp. 1293–1301. https://doi.org/10.1007/s11695-015-1675-xAnastasiou J., Hussameddin A., Al Quorain A. Mind the Gap: Successful Endoscopic Closure of a Large Gastric Sleeve Leak Using an Endoscopic Stent and Over-the-Scope Clips. Case reports in gastroenterology, 2017, 11 (3), pp. 763–768. https://doi.org/10.1159/000485239Anastasiou J., Hussameddin A., Al Quorain A. Mind the Gap: Successful Endoscopic Closure of a Large Gastric Sleeve Leak Using an Endoscopic Stent and Over-the-Scope Clips. Case reports in gastroenterology, 2017, 11 (3), pp. 763–768. https://doi.org/10.1159/000485239Mennigen R., Harting C., Lindner K., Vowinkel T., Rijcken E., Palmes D., Senninger N., Laukoetter M.G. Comparison of Endoscopic Vacuum Therapy Versus Stent for Anastomotic Leak After Esophagectomy. Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract, 2015, 19 (7), pp. 1229–1235. https://doi.org/10.1007/s11605-015-2847-7Mennigen R., Harting C., Lindner K., Vowinkel T., Rijcken E., Palmes D., Senninger N., Laukoetter M.G. Comparison of Endoscopic Vacuum Therapy Versus Stent for Anastomotic Leak After Esophagectomy. Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract, 2015, 19 (7), pp. 1229–1235. https://doi.org/10.1007/s11605-015-2847-7Huang R., Gagner M. A Thickness Calibration Device Is Needed to Determine Staple Height and Avoid Leaks in Laparoscopic Sleeve Gastrectomy. Obesity surgery, 2015, 25 (12), pp. 2360–2367. https://doi.org/10.1007/s11695-015-1705-8Huang R., Gagner M. A Thickness Calibration Device Is Needed to Determine Staple Height and Avoid Leaks in Laparoscopic Sleeve Gastrectomy. Obesity surgery, 2015, 25 (12), pp. 2360–2367. https://doi.org/10.1007/s11695-015-1705-8Silecchia G., Iossa A. Complications of staple line and anastomoses following laparoscopic bariatric surgery. Annals of gastroenterology, 2018, 31 (1), pp. 56–64. https://doi.org/10.20524/aog.2017.0201Silecchia G., Iossa A. Complications of staple line and anastomoses following laparoscopic bariatric surgery. Annals of gastroenterology, 2018, 31 (1), pp. 56–64. https://doi.org/10.20524/aog.2017.0201Shikora S.A., Mahoney C.B. Clinical Benefit of Gastric Staple Line Reinforcement (SLR) in Gastrointestinal Surgery: a Meta-analysis. Obesity surgery, 2015, 25 (7), pp. 1133–1141. https://doi.org/10.1007/s11695-015-1703-xShikora S.A., Mahoney C.B. Clinical Benefit of Gastric Staple Line Reinforcement (SLR) in Gastrointestinal Surgery: a Meta-analysis. Obesity surgery, 2015, 25 (7), pp. 1133–1141. https://doi.org/10.1007/s11695-015-1703-xDemeusy A., Sill A., Averbach A. Current role of staple line reinforcement in 30-day outcomes of primary laparoscopic sleeve gastrectomy: an analysis of MBSAQIP data, 2015-2016 PUF. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2018, 14 (10), pp. 1454–1461. https://doi.org/10.1016/j.soard.2018.06.024Demeusy A., Sill A., Averbach A. Current role of staple line reinforcement in 30-day outcomes of primary laparoscopic sleeve gastrectomy: an analysis of MBSAQIP data, 2015-2016 PUF. Surgery for obesity and related diseases: official journal of the American Society for Bariatric Surgery, 2018, 14 (10), pp. 1454–1461. https://doi.org/10.1016/j.soard.2018.06.024Pournaras D.J., Hardwick R.H., Safranek P.M., Sujendran V., Bennett J., Macaulay G.D., Hindmarsh A. Endoluminal Vacuum Therapy (E-Vac): A Treatment Option in Oesophagogastric Surgery. World journal of surgery, 2018, 42 (8), pp. 2507–2511. https://doi.org/10.1007/s00268-018-4463-7Pournaras D.J., Hardwick R.H., Safranek P.M., Sujendran V., Bennett J., Macaulay G.D., Hindmarsh A. Endoluminal Vacuum Therapy (E-Vac): A Treatment Option in Oesophagogastric Surgery. World journal of surgery, 2018, 42 (8), pp. 2507–2511. https://doi.org/10.1007/s00268-018-4463-7Sapala J.A., Wood M.H., Schuhknecht M.P. Anastomotic leak prophylaxis using a vapor-heated fibrin sealant: report on 738 gastric bypass patients. Obesity surgery, 2004, 14 (1), pp. 35–42. https://doi.org/10.1381/096089204772787266Sapala J.A., Wood M.H., Schuhknecht M.P. Anastomotic leak prophylaxis using a vapor-heated fibrin sealant: report on 738 gastric bypass patients. Obesity surgery, 2004, 14 (1), pp. 35–42. https://doi.org/10.1381/096089204772787266Liu C.D., Glantz G.J., Livingston E.H. Fibrin glue as a sealant for high-risk anastomosis in surgery for morbid obesity. Obesity surgery, 2003, 13 (1), pp. 45–48. https://doi.org/10.1381/096089203321136575Liu C.D., Glantz G.J., Livingston E.H. Fibrin glue as a sealant for high-risk anastomosis in surgery for morbid obesity. Obesity surgery, 2003, 13 (1), pp. 45–48. https://doi.org/10.1381/096089203321136575

The authors declare that there are no conflicts of interest present.