Hem-o-Lok clip migration into the duodenum after laparoscopic digestive surgery: a systematic review
| Autor: | Carmelo Luigiano, Rinaldo Pellicano, Erika Andreatta, Gaetano Piccolo, Micol Polizzi, Roberto Santambrogio, Maria A Palamara, Matteo Barabino, Enrico Opocher, Pierluigi Consolo, Marco Giovenzana, Giacobbe G, Andrea Pisani Ceretti |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty Abdominal pain Duodenum medicine.medical_treatment MEDLINE Asymptomatic Foreign-body migration Digestive system endoscopy Laparoscopy Duodenum 03 medical and health sciences Postoperative Complications 0302 clinical medicine Occlusion medicine Humans Foreign-body migration Laparoscopy Digestive System Surgical Procedures Aged medicine.diagnostic_test business.industry Middle Aged Digestive system endoscopy Surgical Instruments Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Cholecystectomy medicine.symptom business |
| Popis: | Introduction The wide use of hemoclips during laparoscopic surgery has led to a variety of unusual complications, among these, there is the migration of Hem-o-Lok clip into the duodenum. We performed a literature review of all cases of Hem-o-Lok clip migration into the duodenum after laparoscopic digestive surgery reported in literature. Evidence acquisition All relevant articles were extracted up to June 2019 based on the results of searches in MEDLINE, PubMed, Scopus, Web of Science and Google Scholar. Evidence synthesis At the time of this review, a total of seven cases have been described. The mean age was 49 years and the majority of these patients were women (57%). Previous laparoscopic surgery was performed for cholecystectomy (four patients), cholecystectomy with common bile duct exploration (one patient), right hemicolectomy (one patient) and distal gastrectomy (one patient). Symptoms occurred from 3 months to 2 years after laparoscopic surgery. The majority of patients developed symptoms of bowel occlusion and abdominal pain. Three patients remained asymptomatic. In many cases the Hem-o-Lok wedged into the wall of the first or second portion of the duodenum. In all cases, esophageal gastroduodenoscopy was the primary modality to make the diagnosis. Initial treatment was conservative with watch-and-wait strategy or proton pump inhibitors followed by endoscopic removal, while surgical treatment was required in two cases. Conclusions The application of Hem-o-Lok clip during laparoscopic surgery is safe and effective. Postoperative Hem-o-Lok migration into the duodenum is rare. The treatment could be conservative in the majority of cases. |
| Databáze: | OpenAIRE |
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