Not All Leaks Are Created Equal: a Comparison Between Leaks After Sleeve Gastrectomy and Roux-En-Y Gastric Bypass

Introduction It is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management...

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Bibliographic Details
Published in:Obesity surgery 2018-12, Vol.28 (12), p.3775-3782
Main Authors: Al-Kurd, Abbas, Grinbaum, Ronit, Abubeih, Ala’a, Verbner, Ariel, Kupietzky, Amram, Mizrahi, Ido, Mazeh, Haggi, Beglaibter, Nahum
Format: Article
Language:English
Subjects:
Endoscopy
Laparoscopy
Medicine
Medicine & Public Health
Original Contributions
Surgery
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Summary:Introduction It is commonly stated in bariatric surgical forums that leaks following laparoscopic sleeve gastrectomy (LSG) are more difficult to manage than those following laparoscopic roux-en-Y gastric bypass (LRYGB). However, no previous study has provided a thorough comparison of leak management following these two operations. Methods Our database was retrospectively reviewed to identify patients with leak following LSG and LRYGB performed between January 2007 and December 2017. Results Postoperative leak was diagnosed in 16/2132 (0.75%) LSG and 9/595 (1.5%) LRYGB patients. More of the LRYGB leaks had undergone revisional surgeries (66.7 vs. 6.3%, p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-018-3409-3