Obesity, Sepsis
Conditions
Keywords
leaks after bariatric surgery, fistulae after bariatric surgery, abdominal abcesses and bariatric surgery, endoscopic drainage of abcesses, percutaneous drainage of abcesses, gastric bypass, sleeve gastrectomy, necrotic collection and bariatric surgery
Brief summary
Patients presenting intra-abdominal abcesses following bariatric surgery complicated by fistulae are classically treated by external drainage and endoprosthesis or surgical redo. Morbidity and mortality being increased in case of necrotic collections, an endoscopic debridement treatment might be proposed in certain cases. This present study aim to review the evolution of the patients treated by this method from 2007 to 2011 in the investigators institution.
Detailed description
This retrospective study in an academic tertiary center will review the files of patients who underwent endoscopic drainage and debridement of abdominal abscesses secondary to bariatric surgery leaks . The decision for endoscopic treatment was made by the medico-surgical team in charge of this type of surgery, who had to weigh the high risk of mortality in case of re-intervention, along with endoscopic access to abscesses via the transluminal or percutaneous route based on abdominal imaging. Data collection will lead to the evaluation of the technical success rate, the clinical success and potential complications.
Interventions
PROCEDUREendoscopic drainage
Endoscopic percutaneous access was obtained through surgical drains or after ultrasound-guided percutaneous drainage with a thin scope , and transluminal procedures with large scopes through the leak hole. All the procedures were performed under general anesthesia and carbon dioxide insufflation. Debridement was done by pus aspiration and irrigation.
Sponsors
Erasme University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* All the patient treated in an academic tertiary center who underwent endoscopic drainage and debridement of abdominal abscesses secondary to bariatric surgery leaks from october 2007 to April 2011 * septic state
Exclusion criteria
* All other necrosectomies performed for pancreatic disorders were excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intervention technical success | during the procedure | success to pass the scope and perform abcess debridement of the targeted collection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success | 7 days | success to control sepsis after endoscopic drainage |
Outcome results
None listed