Does anatomy explain the origin of a leak after sleeve gastrectomy?

Date publication

octobre 2014

Journal

Obesity surgery

Auteurs

Membres identifiés du Cancéropôle Est :
Pr QUILLIOT Didier

Tous les auteurs :
Perez M, Brunaud L, Kedaifa S, Guillotin C, Gerardin A, Quilliot D, Grosdidier G, Reibel N

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/24777560

Résumé

Sleeve gastrectomy is a bariatric surgical procedure that may result in particular morbidity or mortality due to gastric fistula in the proximal part of the gastric tube. Two theories are currently proposed to explain this specific leak location. The vascular theory attributes the leaks to reduced perfusion in the gastric tube, and the mechanical theory suggests the etiology as gastric tube hyper-pressure due to pyloric conservation. The aim of this study was to map the arterial gastric vascular supply on fresh cadavers after performing sleeve gastrectomy to evaluate the effect of vascular changes on gastric leakage.

Mots clés

Aged, Aged, 80 and over, Anastomotic Leak, etiology, Cadaver, Female, Gastrectomy, adverse effects, Gastric Fistula, etiology, Humans, Male, Obesity, Morbid, surgery, Stomach, blood supply

Référence

Obes Surg. 2014 Oct;24(10):1717-23