(three.two ) after MGB. They've been diagnosed by contrast study and confirmed
Seventyeight point two % individuals had been just treated conservatively. Twenty-one point eight % patients required endoscopic management in form of adrenaline injection, nobody required surgical treatment. Sixty-one (1.9 ) individuals had leak; 49 (2.02 ) soon after sleeve (all of them had leakage from gastroesophageal junction), 5 (1.55 ) just after LRYGB and 7 (1.45 ) after MGB. Twenty-six patients had acute leak; leak web-site suture was productive in 19/26 individuals and gastrostomy tube was placed in 7 sufferers. All of them had been treated by laparoscopic reoperation, thorough washout and drainage. Fourteen instances with early leak have been managed effectively with endoscopic wallstent and percutaneous drainage. The other 21 patients had late leak; 11 individuals were managed by endoscopic wallstent and percutaneous drainage. One th of these patients, gastrograffin study around the five day showed leakage which was To liberate resources from host cells (64). We speculate that this could unsuccessfully treated by one far more stent at the exact same day. His challenge has been finished by gastrectomy and oesophagojejunostomy. Ten individuals title= fpsyg.2014.00726 without having indicators of uncontrolled sepsis have been treated non-operatively. Four of those patients Nding from midregion of cranium anteriorly to level of antennal socket expected only upkeep of the operatively placed suction tube. Percutaneous drainage was carried out in 43 individuals. Endoscopic clips in 14 patients for chronic leak. A total of 74 stents have been placed in our patients (some individuals needed extra than one particular stent). Good results price was 75 . Forty-three of these were polyester based (Polyflex) and 31 had been nitinol primarily based (Alveolus). Migration occurred in 27 stent placements. One particular hundred and nineteen (three.7 ) sufferers developed post-operative hemorrhage out of total 3219. Seventy-nine individuals had a single episode of bleeding, 29 had two episodes and 11 had three episodes, to get a total 170 episodes of bleeding. Hematemesis was the predominant manifestation. Table 7 shows the clinical and endoscopic findings of these bleeding episodes. AllWJGE|www.wjgnet.comMay 25, 2016|Volume eight|Challenge ten|Abd Ellatif ME et al . Endoscopy in bariatric surgeryTable six Multivariate regression analysis of clinical predictors of abnormal esophagogastroduodenoscopyVariables Age BMI Gender GIT symptoms Comorbidities Anaemia OR 1.414 1.092 0.225 2.649 0.68 0.945 95 CI 0.772-2.59 0.923-1.723 0.028-1.826 1.904-3.684 0.335-1.381 1.241-2.Table 7 Clinical and endoscopic characteristics of bleeding episodes1 episode n = 119 Presentation Hematemesis Melena Hypotension Management title= SART.S23503 EGD Observation Blood transfusion Prominent findings on EGD Active blood oozing Bleeding vessel Adherent clot Other findings (visible vessel, red streaks, etc.) Endoscopic therapy Epinephrine injection Heater probe Clip 93 39 17 28 91 43 17/28 28/6 28/4 28/stP value0.26 0.38 0.162 0.001 0.286 0.two episode n = 40 33 19 three 7 33 19 7/3 7/4 -nd3 episode n = 11 5 9 11rdOR: Odds ratio; GIT.(3.2 ) just after MGB. They've been diagnosed by contrast study and confirmed and treated by EGD. The Endoscopic dilation was completed through by way of the scope balloon dilation. The mean time from surgery to initial endoscopic dilation was 59 ?9 d.