Background Staple line leakage is a well-known complication was measured by light microscopy at a predetermined location after laparoscopic sleeve gastrectomy (LSG). Gastric wall by a blinded pathologist. Furthermore, fundus wall thickness thickness and the staple height may be determining factors was compared with demographic data, clinical outcome, and for the occurrence of insufficiencies. To investigate this prob- the rate of insufficiencies. lem, an observational cohort study was carried out. Results One hundred forty-one patients, 38 male and 103 fe- male undergoing LSG, between January 2014 and July 2015 Investigation concentrated on the gastroesophageal junction close to the angle of His, since this area is at highest risk for were included in the study. Male gender was associated with thicker gastric fundus wall. Overall leak rate was 2.1% aleakage. (3/141). Median wall thickness of the 3 patients with detected leaks in the study group was thinner compared to the non-leak * Clara Boeker group (2810 vs. 3249 μm, respectively). email@example.com Discussion/Conclusion Only male gender correlated with higher wall thickness of the fundus. The fact that all three Julian Mall patients who developed a leak were female, and the fundus firstname.lastname@example.org of female patients as well as those of the
Obesity Surgery – Springer Journals
Published: Jun 16, 2017
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