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Endoscopic negative pressure therapy (ENPT) is a safe technique, showing promising results in the treatment of leakages of the upper and lower gastrointestinal tract. The purpose of this study is to determine the safety and efficacy of ENPT in the management of proximal staple line leak after sleeve gastrectomy.
Clinical data of 40 cases of post-SG proximal staple line leak treated with ENPT are analysed. Success is defined as resolution of the fistula with no further need for intervention (surgical or endoscopic).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endoscopic negative pressure therapy | Procedure | Endoscopic placement of a sponge in/at staple line leaks under negative pressure. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with closure of staple line leak | Resolution of the fistula with no further need for intervention (surgical or endoscopic). | up to 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of endoscopic interventions | Number of endoscopic interventions in each patient | up to 16 weeks |
| Hospital stay | Time of hospital stay for each patient |
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Inclusion Criteria:
Exclusion Criteria:
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Patients older 18 years who underwent laparoscopic sleeve gastrectomy for morbid obesity and developed a proximal staple line leak within 30 days.
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| Name | Affiliation | Role |
|---|---|---|
| Markus Reiser, MD | Chief Dept. Medicine and Gastroenterology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinikum Vest GmbH | Recklinghausen | North Rhine-Westphalia | 45657 | Germany |
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| ID | Term |
|---|---|
| D057868 | Anastomotic Leak |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| up to 24 weeks |
| Mortality | Mortality rate during hospital stay | up to 24 weeks |