Frequency of Leakage after Surgery Following Leak Test during Laparoscopic Sleeve Gastrectomy
| Autor: | Omar. A. Shawabkah, Mohamad. F. Al Atyiat., Khaled. M. Aladwan., Rashed. S. Alshahwan., Huda. J. Khraisat., Mohammed. E. Alduham. |
|---|---|
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Scholars Journal of Applied Medical Sciences. 11:483-485 |
| ISSN: | 2320-6691 2347-954X |
| DOI: | 10.36347/sjams.2023.v11i02.034 |
| Popis: | Background: Leakage after laparoscopic sleeve gastrectomy is a serious hazard, recorded in 0-8% of patients. Leak test during surgery with methylene blue seeks to decrease postsurgical leakage. Aim: To evaluate the effect of MB leak test to recognize leakage following LSG. Methods: Our prospective, double-blinded, randomized investigation enrolled 400 participants, aged 27-39 years, of both sexes, with BMI of 38-46 kg/m2, scheduled for LSG in Jordan during the period Jan 2021-Jan 2022. Participants were randomly divided into Group A (n=200) without LTDS, and group B (n=200) with MB LTDS. Group B participants had pylorus laparoscopically closed with a bowel clamp, and the stomach was filled with 50 ml of MB, administered via the orogastric bougie. Postsurgical leakage for both groups was determined by the presence of MB at staple line during surgery, radiologically spotted with contrasting extravasation from the staple line after surgery, and the presence of saliva in the drain. Categorical parameters between groups were analyzed using Pearson’s Chi-square test, and discrepancies between groups in non-normally continuous parameters were analyzed using the Mann-Whitney U-test. Results: The groups had the same leakage frequency (1.5%, P>0.05). Group A had leakage in 3 participants (1.5%) in the fundus; Group B had leakage in 3 participants (1.5%) in the fundus (n=1) and antrum (n=2). Conclusion: The use of LTDS did not decrease the frequency of postsurgical leakage, undermining universal applicability. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|