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LEAK OF THE STAPLER LINE AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY. LITERATURE REVIEW

https://doi.org/10.17238/issn2072-3180.2020.3.87-95

Abstract

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.

About the Authors

A. A. Kovalev
«Almazov National Medical Research Centre»
Russian Federation

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

2 Akkuratov street, 197341 St. Petersburg



O. V. Kornyushin
«Almazov National Medical Research Centre»
Russian Federation

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

2 Akkuratov street, 197341 St. Petersburg



V. Maslei
«Almazov National Medical Research Centre»
Russian Federation

Maslei Vitalii, surgical resident

2 Akkuratov street, 197341 St. Petersburg



N. Bulavinova
«Almazov National Medical Research Centre»
Russian Federation

Bulavinova Nika — nurse

2 Akkuratov street, 197341 St. Petersburg



E. G. Solonitsyn
«Almazov National Medical Research Centre»
Russian Federation

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

2 Akkuratov street, 197341 St. Petersburg

eLibrary SPIN-код: 1112-6559



A. E. Neimark
«Almazov National Medical Research Centre»
Russian Federation

Neimark Aleksandr E. — MD, PhD in Medicine

2 Akkuratov street, 197341 St. Petersburg

eLibrary SPIN: 6554-3217



I. N. Danilov
«Almazov National Medical Research Centre»
Russian Federation

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

2 Akkuratov street, 197341 St. Petersburg



References

1. Finucane 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)62037-5

2. 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.

3. 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/10.1381/096089203322618669

4. Tucker 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/s11605-008-0480-4

5. Csendes 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/s11605-010-1249-0

6. Bransen 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-z

7. Campanile 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/s00423-013-1077-2

8. Arias 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/s11695-009-9818-6

9. Tagaya 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/s11695-008-9774-6

10. Guerron 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/s11695-017-2809-0

11. Aminian 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.2014.12.012

12. Stroh 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.0000000000001559

13. Aurora 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/s00464-011-2085-3

14. Clinical 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.2007.06.009

15. Gagner 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.2014.04.002

16. Dumon 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.2011.08.014

17. Pories 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.2008-1641

18. Thomas 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/s11695-012-0663-7

19. Natoudi 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-z

20. Baker 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/10.1381/0960892042583888

21. Márquez 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/s11695-010-0219-7

22. Burgos 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/s11695-009-9884-9

23. Csendes 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/10.1381/096089205774512410

24. Husain 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.2018.95.2.100

25. Rosenthal 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.2011.10.019

26. Consten 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/10.1381/0960892042583905

27. Sakran 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-x

28. Campanile 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/s00423-013-1077-2

29. Gagner 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.2014.01.016

30. Sethi 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/s00464-015-4286-7

31. Mizrahi 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/s11695-014-1243-9

32. Musella 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/s11695-018-3172-5

33. Rahman 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.2017.12.023

34. Gonzalez 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/10.1381/0960892042583978

35. Ballesta 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/s11695-007-9297-6

36. Casella 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/s11695-009-9840-8

37. Monkhouse 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/10.1308/003588409X392072

38. Moszkowicz 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/s11695-012-0860-4

39. Sarkhosh 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.033511

40. Baltasar 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.2008.07.012

41. Deitel 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/s11695-008-9471-5

42. Chour 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.2013.08.017

43. Vilallonga 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/s00464-014-3684-6

44. Ramos 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.2014.10.021

45. van 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.2013.01.003

46. Amor 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-z

47. Donatelli 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/s11695-018-3193-0

48. van 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-12-19

49. Leenders 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/s00464-013-2802-1

50. Puli 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.2011.09.010

51. Eisendrath 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-2007-966533

52. Alazmi 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/s00464-014-3616-5

53. Puig 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.2013.12.018

54. Galloro 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.i9.843

55. Nedelcu 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-y

56. Donatelli 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-x

57. Anastasiou 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/10.1159/000485239

58. Mennigen 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/s11605-015-2847-7

59. Huang 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/s11695-015-1705-8

60. Silecchia 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.2017.0201

61. Shikora 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-x

62. Demeusy 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.2018.06.024

63. Pournaras 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/s00268-018-4463-7

64. Sapala 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/10.1381/096089204772787266

65. Liu 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


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Kovalev A.A., Kornyushin O.V., Maslei V., Bulavinova N., Solonitsyn E.G., Neimark A.E., Danilov I.N. LEAK OF THE STAPLER LINE AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY. LITERATURE REVIEW. Moscow Surgical Journal. 2020;(3):87-95. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.3.87-95

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