Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
| Autor: | Zahra Zardosht, Seyedeh Leila Poorbaghi, Masood Amini, Razieh Naseri Mojarrad, Mohammad Hassan Hashemizadeh, Masood Sepehrimanesh |
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| Rok vydání: | 2018 |
| Předmět: |
obesity
medicine.medical_specialty Leak Gastric bypass 030209 endocrinology & metabolism 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine jejunojejunal anastomosis Medicine Clinical efficacy lcsh:RC799-869 Leak rate Post operative gastric bypass leak rate business.industry gastrojejunal anastomosis General Medicine Roux-en-Y anastomosis Gastrojejunal anastomosis Surgery learning curve chemistry lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology business Methylene blue |
| Zdroj: | Iranian Journal of Colorectal Research, Vol 6, Iss Issues 2-3, Pp 1-6 (2018) Annals of Colorectal Research, Vol 6, Iss 2-3 (2018) |
| ISSN: | 2322-5289 2322-5262 |
| DOI: | 10.5812/acr.77092 |
| Popis: | Background Obesity is becoming a worldwide health problem. Recently, bariatric surgeries are developing to combat with this problem. However, these surgical methods themselves have risks. Objectives The present study investigated the preventive effect of routine leak test of both gastrojejunal and jejunojejunal anastomoses immediately after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery against post-operative leak by inexperienced surgeons. Methods In a prospective interventional study, this research enrolled 52 morbid obese patients with LRYGB from September 2014 to October 2016. After anastomoses, methylene blue and air leak tests were performed and the section line and both anastomosis sites for patency and inspected for air and dye leaks were examined. Results Mean body mass index of patients was 48.84 ± 6.8 kg/m2. Twelve patients had positive leak test and the anastomoses were reinforced by additional sutures. All patients were discharged with no leak and no patient had leak during the routine follow-up period. Conclusions Intraoperative leak test of both gastrojejunal and jejunojejunal anastomoses is a valuable test in the assessment of leak during LRYGB surgery, especially in unskilled surgeons. |
| Databáze: | OpenAIRE |
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