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SLEEVE GASTREKTOMİNİN İNTRAOPERATİF VE ERKEN KOMPLİKASYONLARININ YÖNETİMİ

Yıl 2020, Cilt: 6 Sayı: 2, 109 - 133, 31.08.2020

Hasan Erdem , Mehmet Gençtürk , Serkan Bayıl , Selim Sözen

Öz

Obezite prevalansı gittikçe artan önemli bir sağlık sorunu haline gelmiştir. Obezite için uygulanan tedavilerden; diyet, fiziksel aktivite, davranış terapisi ve kilo verdirici ilaçların etkinliği sınırlıdır. Obezite cerrahisi uygun hasta grubunda seçilebilecek bir yöntem olarak durmaktadır. Sleeve gastrektomi, midenin çoğunun çıkarılmasını içeren ciddi ve geri dönüşü olmayan bir ameliyattır. Bu prosedürün en önemli komplikasyonları kanama ve stapler hattı kaçağıdır. Bu çalışmanın amacı komplikasyonları tanımlamak, tedaviyi tanımlamak ve olası altta yatan mekanizmaları tartışmaktır.

Anahtar Kelimeler

Sleeve Gastrektomi komplikasyonlar şişmanlık

Kaynakça

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MANAGEMENT OF INTRAOPERATIVE AND EARLY COMPLICATIONS OF SLEEVE GASTRECTOMY

Yıl 2020, Cilt: 6 Sayı: 2, 109 - 133, 31.08.2020

Hasan Erdem , Mehmet Gençtürk , Serkan Bayıl , Selim Sözen

Öz

The growing prevalence of obesity has become a major concern. The efficacy of medical treatment, diet and behavior therapy in morbidly obese patients is limited. Obesity surgery is a treatment option for selected morbidly obese patients. Sleeve gastrectomy is a serious and irreversible operation involving the removal of the majority of the stomach. The most important complications of this procedure are bleeding and staple line leak. The purpose of the present study is to describe complications, describing treatment and discussing possible underlying mechanisms.

Anahtar Kelimeler

Sleeve gastrectomy complications obesity

Kaynakça

  • 1. Global status report on noncommunicable diseases 2014. “Attaining the nine global noncommunicable diseases targets; a shared responsibility”. World Health Organization, Geneva 2014.
  • 2. World Health Organization. Obesity and Overweight: fact sheet [online]. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed January 11, 2016.
  • 3. Buchwald H, Yoav A, Braunwald E, et al. Bariatric surgery a systematic review and meta-analysis. JAMA 204; 292: 1724-37.
  • 4. Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg 2015; 25: 1822-32.
  • 5. Janik M, Stanowski E, Paśnik K. Present status of bariatric surgery in Poland. Videosurgery Miniinv 2016; 11: 22-5.
  • 6. Walędziak M, Rożańska-Walędziak A, Kowalewski P, et al. Present trends in bariatric surgery in Poland. Videosurgery Miniinv in press; DOI:10.5114/wiitm.2018.77707.
  • 7. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10:514–23. [PubMed] [Google Scholar]
  • 8. Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4. [PubMed] [Google Scholar]
  • 9. . Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75. [PubMed] [Google Scholar]
  • 10. Karthik S, Augustine AJ, Shibumon MM, Pai MV. Analysis of laparoscopic port site complications: A descriptive study. J Minim Access Surg. 2013;9:59-64.
  • 11. Malik AM, Laghari AA, Mallah Q, Hashmi F, Sheikh U, Talpur KA. Extra-biliary complications during laparoscopic cholecystectomy: How serious is the problem? J Minim Access Surg. 2008;4:5-8.
  • 12. Lim RB, Jones D, Chen W. Bariatric Operations: Perioperative Morbidity and Mortality. URL: www. uptodate.com/contents/bariatric-operationsperioperative-morbidity-and-mortality (accessed April 2016).
  • 13. Champault G, Cazacu F, Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations. Surg Laparosc Endosc 1996;6:367-70.
  • 14. Simforoosh N, Basiri A, Ziaee SA, Tabibi A, Nouralizadeh A, Radfar MH, et al. Major vascular injury in laparoscopic urology. JSLS 2014;18.
  • 15. Chandler JG, Corson SL, Way LW. Three spectra of laparoscopic entry access injuries. J Am Coll Surg. 2001 Apr;192(4):478-90; discussion 490-1.
  • 16. Meshikhes AW, Al-Saif OH. Iatrogenic oesophageal transection during laparoscopic sleeve gastrectomy. BMJ Case Rep. 2014 Mar 3;2014. pii: bcr2013201260. doi: 10.1136/bcr-2013-201260.
  • 17. Nguyen NT, Silver M, Robinson M, Needleman B, Hartley G, Cooney R, Catalano R, Dostal J, Sama D, Blankenship J, Burg K, Stemmer E, Wilson SE. Result of a national audit of bariatric surgery performed at academic centers: a 2004 University HealthSystem Consortium Benchmarking Project. Arch Surg 2006;141(5):445-9.
  • 18. Nathens AB, Dellinger EP. Surgical site infections. Current Treatment Options in Infectious Diseases 2000; 2: 347-358.
  • 19. Mangram AJ, Horan TC, Pearson ML, Silver LJ, Jarvis WR Guideline for prevention of surgical site infection,1999. AJIC 1999; 27:97-134.
  • 20. Sharma R, Mehta D, Goyal M, Gupta S. The earliest presenting umbilical port site hernia following laparoscopic cholecystectomy: a case report. J Clin Diagn Res 2016;10:PD18–9.
  • 21. Molloy D, Kaloo PD, Cooper M, et al. Laparoscopic entry: a literature review and analysis of techniques and complications of primary port entry. Aust N Z J Obstet Gynaecol. 2002;42:246–54.
  • 22. Buhaskar K. Trocar site hernia.World J Surg 2009;2:27-29.
  • 23. Lee JH, Kim W. Strangulated small bowel hernia through the port site. a case report. World J Gastroenterol 2008;14:6881-3.
  • 24. Cottam DR, Gorecki PJ, Curvelo M, et al. Preperitoneal herniation into a laparoscopic port site without a fascial defect. Obes Surg 2002;12:121-23.
  • 25. Wagner M, Farley GE. Incarcerated hernia with intestinal obstruction after laparoscopic cholecystectomy. Wis Med J 1994;93:169-71.
  • 26. Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M. Trocar site hernia. Arch Surg 2004;139:1248–56. [CrossRef].
  • 27. Ece I, Yilmaz H, Alptekin H, Yormaz S, Colak B, Sahin M. Port site hernia after laparoscopic sleeve gastrectomy: a retrospective cohort study of 352 patients. Updates Surg 2018;70:91–5. [CrossRef].
  • 28. Rocha, V.Z.; Libby, P. Obesity, inflammation, and atherosclerosis. Nat. Rev. Cardiol. 2009, 6, 399–409.
  • 29. Chivot C, Lafaye N, et al. Laparoscopic sleeve gastrectomy: Imaging of normal anatomic features and postoperative gastrointestinal complications. Diagn Interv Imaging. 2013; 94: 823-34.
  • 30. Levine M, Carussi L. Imaging of bariatric surgery: normal anatomy and postoperative complications. Radiology Feb 2014, 270(2):327- 41.
  • 31. Criterios de inclusión y exclusión para cirugía bariátrica: decisión de equipo o individual. Conferencia presentada en el III Congreso de Nutrición Clínica y Metabolismo, Santiago, 18-20 de abril de 2002. http://www.medwave.cl/link.cgi/Med wave/Puestadia/Congresos/1209.
  • 32. Pérez D, Schiappacasse G, Zúñiga F. et al. Gastrectomía en manga: Estudio por imagen de sus complicaciones. Rev Chil Cir. Oct. 2015; 67(5): 554-559.
  • 33. Lalor PF, Tucker ON, Szomstein S, Rosenthal RJ. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008;4:33-8.
  • 34. Gonzalez R, Sarr MG, Smith CD, Baghai M, Kendrick M, Szomstein S. et al. Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg. 2007;204:47-55.
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Toplam 90 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Hasan Erdem

Mehmet Gençtürk

Serkan Bayıl

Selim Sözen 0000-0003-2006-9198

Yayımlanma Tarihi 31 Ağustos 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 6 Sayı: 2

Kaynak Göster

APA Erdem, H., Gençtürk, M., Bayıl, S., Sözen, S. (2020). MANAGEMENT OF INTRAOPERATIVE AND EARLY COMPLICATIONS OF SLEEVE GASTRECTOMY. International Anatolia Academic Online Journal Health Sciences, 6(2), 109-133.
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