CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA

Bibliographic Details
Main Author: Nogueiro, Jorge
Publication Date: 2024
Other Authors: Gomes, Fábio, Resende, Fernando, Pinho, André, Santos-Sousa, Hugo, Preto, John, Lima da Costa, Eduardo
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://doi.org/10.34635/rpc.1006
Summary: Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management. To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG.
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spelling CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULACONVERSÃO DE SLEEVE EM BYPASS GÁSTRICO EM Y-DE-ROUX APÓS FÍSTULA GÁSTRICASleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management. To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG.Sleeve Gástrico (SG) é a cirurgia bariátrica mais frequentemente realizada mundialmente. Apesar de ser considerada uma cirurgia mais simples quando comparada com outras abordagens cirúrgicas, tem riscos de complicações pós-operatórias. Fístulas gástricas após SG são uma das complicações mais temidas e a explicação mais consensual para a sua ocorrência prende-se com o aumento de pressão intra-luminal devido a alterações do esvaziamento gástrico. Devido à sua natureza complexa e etiologia multi-factorial, o tratamento é desafiante e envolve uma abordagem multidisciplinar frequentemente clínica, endoscópica e cirúrgica. Até à data não existe consenso relativamente à melhor abordagem ou ao tempo ideal para tratar fístulas gástricas após SG. No entanto, a conversão para bypass gástrico em Y-de-Roux (BGYR) é uma das opções pois diminui a pressão intra-luminal do tubo gástrico. Apresentamos um video de uma conversão de SG em BGYR após fístula gástrica por laparoscopia.Sociedade Portuguesa de Cirurgia2024-01-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.1006https://doi.org/10.34635/rpc.1006Revista Portuguesa de Cirurgia; No. 56 (2023): December; 97-98Revista Portuguesa de Cirurgia; N.º 56 (2023): Dezembro; 97-982183-11651646-6918reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/1006https://revista.spcir.com/index.php/spcir/article/view/1006/697https://revista.spcir.com/index.php/spcir/article/view/1006/698Copyright (c) 2024 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessNogueiro, JorgeGomes, FábioResende, FernandoPinho, AndréSantos-Sousa, HugoPreto, JohnLima da Costa, Eduardo2024-10-24T16:54:07Zoai:revista.spcir.com:article/1006Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:00:51.278275Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
CONVERSÃO DE SLEEVE EM BYPASS GÁSTRICO EM Y-DE-ROUX APÓS FÍSTULA GÁSTRICA
title CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
spellingShingle CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
Nogueiro, Jorge
title_short CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
title_full CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
title_fullStr CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
title_full_unstemmed CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
title_sort CONVERTING A SLEEVE GASTRECTOMY INTO ROUX-EN-Y GASTRIC BYPASS AFTER GASTRIC FISTULA
author Nogueiro, Jorge
author_facet Nogueiro, Jorge
Gomes, Fábio
Resende, Fernando
Pinho, André
Santos-Sousa, Hugo
Preto, John
Lima da Costa, Eduardo
author_role author
author2 Gomes, Fábio
Resende, Fernando
Pinho, André
Santos-Sousa, Hugo
Preto, John
Lima da Costa, Eduardo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nogueiro, Jorge
Gomes, Fábio
Resende, Fernando
Pinho, André
Santos-Sousa, Hugo
Preto, John
Lima da Costa, Eduardo
description Sleeve Gastrectomy (SG) is the most widely performed bariatric surgery worldwide. Despite being considered a relatively simple surgery compared with other metabolic choices, it has no negligible risk of postoperative complications. Gastric fistulas are one of the most feared complications and the most consensual explanation is the increased intraluminal pressure because of any cause of gastric emptying impairment. Due to its complex nature and multifactorial origin, the treatment is challenging and usually involves clinical, endoscopic and surgical management. To date, there is no consensus about the treatment or the ideal time for treating gastric fistulas after SG, but conversion to RYGB remains one of the options to solve this issue mainly as it can decrease the intraluminal pressure of the gastric tube. We aim to present a video of a laparoscopic conversion to RYGB in a patient with gastric fistula after SG.
publishDate 2024
dc.date.none.fl_str_mv 2024-01-11
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34635/rpc.1006
https://doi.org/10.34635/rpc.1006
url https://doi.org/10.34635/rpc.1006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/1006
https://revista.spcir.com/index.php/spcir/article/view/1006/697
https://revista.spcir.com/index.php/spcir/article/view/1006/698
dc.rights.driver.fl_str_mv Copyright (c) 2024 Revista Portuguesa de Cirurgia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Revista Portuguesa de Cirurgia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
dc.source.none.fl_str_mv Revista Portuguesa de Cirurgia; No. 56 (2023): December; 97-98
Revista Portuguesa de Cirurgia; N.º 56 (2023): Dezembro; 97-98
2183-1165
1646-6918
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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