袖状胃切除术(SG)被广泛认为是全球领先的减肥手术。然而,泄漏,它的主要并发症,仍然是一个重大关切。这项研究的重点是管理泄漏的挑战,特别是当常规内窥镜治疗无效时。尽管Wei-JeiLee团队的PulimuttilJamesZachariah报道的一种新颖的一步方法已经证明了希望,目前对其疗效的进一步调查和报告不足。在2021年1月至2023年11月之间,我们分析了在我们中心接受治疗的5名患者的SG渗漏。患者数据包括人口统计,合并症,手术细节,和结果。本研究详细介绍了在SG渗漏诊断后进行的腹腔镜胃造瘘术,突出急性和慢性病例之间的差异。这项研究有效地实施了Zachariah的一步法,在所有五种情况下都取得了良好的效果。患者特征,介绍,术后进展,并记录了其他治疗方法。结果支持Zachariah的断言,即一步法很简单,安全,和具有成本效益的SG泄漏方法,避免消化道重建。尽管存在潜在的局限性,包括闭合大缺陷和延长愈合时间的挑战,程序在减压中的有效性,排水,和营养支持显著有助于提高其愈合率。该研究强调了根据临床情况及时进行腹腔引流的重要性,挑战传统做法以获得更好的临床结果。
Sleeve gastrectomy (SG) is widely recognized as the leading bariatric procedure worldwide. However,
leakage, its major complication, remains a significant concern. This study focuses on the challenges of managing
leakage, especially when conventional endoscopic treatments are ineffective. Although a novel one-step approach as reported by Pulimuttil James Zachariah from Wei-Jei Lee\'s team has demonstrated promise, further investigations and reports on its efficacy are currently insufficient. Between January 2021 and November 2023, we analyzed five patients treated at our center for SG
leakage. Patient data include demographics, comorbidities, surgical details, and outcomes. The study details Laparo-Endoscopic Gastrostomy procedures performed post-SG
leakage diagnosis, highlighting differences between acute and chronic instances. The study effectively implemented Zachariah\'s one-step approach, achieving favorable results in all five cases. Patient characteristics, presentation, postoperative progression, and additional treatments were documented. The outcome supports Zachariah\'s assertion that the one-step approach is a simple, safe, and cost-effective approach for SG
leakage, avoiding digestive tract reconstruction. Despite potential limitations, including challenges in closing large defects and extended healing times, the procedure\'s effectiveness in decompression, drainage, and nutritional support significantly contributes to its elevated healing rate. The study emphasizes the importance of timely abdominal drain removal based on clinical conditions, challenging traditional practices for better clinical outcomes.