Could the measurement of pressure in the section of stomach excised during laparoscopic sleeve gastrectomy give an indication of potential leakage in the remnant stomach?
International Journal of Clinical and Experimental Medicine, cilt.10, sa.5, ss.8492-8499, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 10 Sayı: 5
- Basım Tarihi: 2017
- Dergi Adı: International Journal of Clinical and Experimental Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.8492-8499
- Anahtar Kelimeler: Laparoscopic sleeve gastrectomy, staple line, leakage, burst pressure, morbid obesity
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: A leak observed after laparoscopic sleeve gastrectomy operations poses a problem that is difficult to treat and follow up and it is the major reason for mortality and morbidity. The staples left in the remnant stomach and the ones in the section excised via sleeve gastrectomy are equal in number and structure. Thus, this study was designed under the consideration that measuring the strength of staples in the excised section could give an indication of the staple line in the remnant stomach. Methods: Two cannulae were inserted in the excised sections of 47 cases. They were inflated in water and their burst pressures were measured. The age, sex, BMI values, number of staples that were used, the first site of leak and burst pressure in mmHg of the cases were recorded. Results: Forty-seven cases were evaluated. Thirty-one of the cases were female and 16 were male. The average BMI value was 46.3 ± 5.5. The average Staple burst pressure was 30 (17-78) mmHg. The median number of used cartridges was 5 (4-7) and the median number of opened cartridges was 3 (1-5). Conclusion: Performing a pressure measurement on excised section to assess the resistance of the staple line may also give an indication about the remnant stomach. As a matter of fact, the number of staples in the sleeve gastrectomy line is equal to that in the excised section, and this procedure is a rather easy and non-invasive test. Following the test, it is necessary to examine the section of stomach that corresponds to the first site of leakage in detail during operation and intervention, in case of any problems.