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https://www.um.edu.mt/library/oar/handle/123456789/95353
Title: | CT fluoroscopy-guided drain placement to treat infected gastric leakage after sleeve gastrectomy : technical and clinical outcome of 31 procedures |
Authors: | Schwarz, Jens Strobl, Frederik Franz Paprottka, Philipp M. D'Anastasi, Melvin Spelsberg, Fritz W. Rentsch, Markus Reiser, Maximilian Trumm, Christoph Gregor |
Keywords: | Diagnosis, Fluoroscopic Gastrectomy -- Complications Gastrointestinal system -- Radiography Gastrointestinal system -- Surgery |
Issue Date: | 2020 |
Publisher: | Georg Thieme Verlag KG. |
Citation: | Schwarz, J., Strobl, F. F., Paprottka, P. M., D’Anastasi, M., Spelsberg, F. W., Rentsch, M.,...Trumm, C. G. (2020). CT fluoroscopy-guided drain placement to treat infected gastric leakage after sleeve gastrectomy: technical and clinical outcome of 31 procedures. Fortschr Röntgenstr, 192(2), 163-170. |
Abstract: | Purpose: To observe the technical and clinical outcome as
well as safety of CT fluoroscopy-guided drain placement in
the multimodal clinical complication management of superinfected
gastric leakage after sleeve gastrectomy. Materials and Methods: All consecutive patients who underwent CT fluoroscopy-guided drain placement to treat superinfected postoperative leakage after sleeve gastrectomy in our department between 2007 and 2014 were included in this retrospective study. All interventions were performed on a 16- or 128-row CT scanner under intermittent CT fluoroscopy guidance (15–25mAs, 120 kV). The technical and clinical success rates as well as complications, additional therapies and patient radiation dose were analyzed. Results: 14 patients (mean age: 43.8 ± 11.3 years, mean BMI: 52.9 ± 13.5, 7 women) who underwent a total of 31 CT fluoroscopy- guided drain placement procedures were included. 30 of 31 interventions (96.8 %) were technically successful. 7 patients underwent more than one intervention due to drain obstruction or secondary dislocation or as further treatment. During and after the intervention no procedure-associated complications occurred. In all patients, inflammation parameters decreased within days after the CT-guided intervention The total interventional dose length product (DLP) was 1561 ± 1035 mGy*cm. Conclusion: CT fluoroscopy-guided drain placement has been shown to be a safe minimally invasive procedure that rarely leads to complications for treating superinfected gastric leakage occurring after sleeve gastrectomy. We assume that operative revisions in a high-risk patient group can be avoided using this procedure. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/95353 |
Appears in Collections: | Scholarly Works - FacM&SCRNM |
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CT_fluoroscopy_guided_drain_placement_to_treat_infected_gastric_leakage_after_sleeve_gastrectomy_2020.pdf Restricted Access | 353.22 kB | Adobe PDF | View/Open Request a copy |
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