naa a22 4500 510747310 CHVBK 20180411083051.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11547-013-0938-7 doi (NATIONALLICENCE)springer-10.1007/s11547-013-0938-7 Minimally invasive treatment of gastric leak after sleeve gastrectomy [Elektronische Daten] [Mario Corona, Chiara Zini, Massimiliano Allegritti, Emanuele Boatta, Pierleone Lucatelli, Alessandro Cannavale, Andrea Wlderk, Carlo Cirelli, Fausto Fiocca, Filippo Salvatori, Fabrizio Fanelli] Trattamento minimamente invasivo delle fistole gastriche dopo sleeve gastrectomy Purpose: Obesity is a leading problem in Western countries, and laparoscopic sleeve gastrectomy (SG) is the most commonly used procedure for the surgical management of morbid obesity. SG is recognised as one of the safest and most effective bariatric procedures but it is limited by a rate of gastric leaks (GL) ranging from 1.4% to 20%. No international consensus exists about the treatment of GL. This paper reports our experience with the noninvasive management of GL. Materials and methods: From July 2004 to December 2010, 16 patients with GL after SG were referred to our unit. All patients underwent contrast radiography (Gastrografin) and computed tomography (CT) examination. On the basis of the radiographic findings, patients were divided into those eligible for drainage and those not eligible. Results: Twelve patients (75%) were eligible for percutaneous drainage. Of these, seven patients (44%) were successfully treated with percutaneous drainage alone, whereas five patients (31%) required placement of a covered stent due to incomplete resolution of the collection. After 1009.8±456.7 days of follow-up, one patient died from a cardiovascular event and two patients required a bilio-pancreatic-digestive bypass (BPD-BP). Twelve patients (75%) were in an excellent state of health with significant reduction of their body mass index (BMI). Conclusions: Our experience confirms the value of an algorithm based on patient eligibility for percutaneous drainage in the treatment of GL. The patient's general condition and in particular the presence of sepsis supports the value of this approach in preference to the conventional surgical approach. Springer-Verlag Italia, 2013 Gastric leak nationallicence Sleeve gastrectomy nationallicence Percutaneous drainage nationallicence Stent graft nationallicence Non-surgical management nationallicence Fistola gastrica nationallicence Sleeve gastrectomy nationallicence Drenaggio percutaneo nationallicence Stent ricoperto nationallicence Trattamento non chirurgico nationallicence Corona Mario Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Zini Chiara Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Allegritti Massimiliano Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Boatta Emanuele Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Lucatelli Pierleone Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Cannavale Alessandro Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Wlderk Andrea Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Cirelli Carlo Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Fiocca Fausto Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Salvatori Filippo Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut Fanelli Fabrizio Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut La radiologia medica Springer Milan 118/6(2013-09-01), 962-970 0033-8362 118:6<962 2013 118 11547 https://doi.org/10.1007/s11547-013-0938-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-013-0938-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Corona Mario Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Zini Chiara Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Allegritti Massimiliano Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Boatta Emanuele Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Lucatelli Pierleone Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Cannavale Alessandro Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Wlderk Andrea Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Cirelli Carlo Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Fiocca Fausto Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Salvatori Filippo Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 700 1- Fanelli Fabrizio Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/6(2013-09-01), 962-970 0033-8362 118:6<962 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer