[Early imaging features after sleeve gastrectomy]

Autor: Werquin C, Caudron J, Mezghani J, Leblanc-Louvry I, michel scotté, Jn, Dacher, Savoye-Collet C
Přispěvatelé: Service d'imagerie médicale [CHU Rouen], Hôpital Charles Nicolle [Rouen]-CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), Service de chirurgie digestive [CHU Rouen], CHU Rouen, Hôpital Charles Nicolle [Rouen], Normandie Université (NU)-Normandie Université (NU)-CHU Rouen, Breton, Céline
Jazyk: francouzština
Rok vydání: 2008
Předmět:
Zdroj: Journal de Radiologie
Journal de Radiologie, Elsevier Masson, 2008, 89 (11 Pt 1), pp.1721-8
Europe PubMed Central
Journal de Radiologie, 2008, 89 (11 Pt 1), pp.1721-8
ISSN: 0221-0363
Popis: International audience; PURPOSE: Sleeve gastrectomy is a new bariatric surgical procedure with promising early results and low morbidity and mortality. We have evaluated the early imaging findings and value of upper GI study (UGI) and CT. PATIENTS AND METHODS: Twenty five patients (mean age=38.9 years, mean BMI=51.5 kg/m2) following sleeve gastrectomy for morbid obesity underwent UGI at day 1. CT was immediately performed in patients with suspected leak or as a follow-up examinations in patients with suspected complication. The different imaging features observed were recorded. RESULTS: UGI demonstrated 13 normal examinations (52%), an abnormal appearance in 11 cases (44%) with opacification of a lateral pouch, and one complication (leak confirmed on CT). Two patients underweent CT (day 3 and day 15) for suspected complication, with demonstration of leak in both cases. CONCLUSION: An abnormal appearance after sleeve gastrectomy is frequently observed on UGI. Routine UGI at day 1 is useful to detect large leaks. CT with oral contrast should be performed in all patients with imaging or clinical suspicion of leak.
Databáze: OpenAIRE