Comments on: NEW COLUMN! Ask the Experts: Managing a Leak After Sleeve Gastrectomy

By: fiona

fiona — Sat, 18 Jun 2011 14:27:05 +0000

my husband had a partial gastrectomy in july 2010. he still has an abdominal leak and a second leak from the laporascpy site, the surgeon is happy to let it heal on its own, now june 2011 no better still leaking and now infected. HELP

By: Doctor

Doctor — Tue, 17 Aug 2010 18:59:52 +0000

dear sir
i have a fundal leak after sleeve gastrectomy. pt has no co morbidity.
i did relaparascopy nd did resuturing of 8 mm staple line leak,nd drained with jackson drain. again relaproscopy to clean
abdominal collection. pt on TPN. all parameters r near normal.
will i start oral liquid with support TPN, Or i should wait,or i should put gastrojejunal feeding.this is 3rd wk postop.
CTabdomen showing small leak, low output fistulae. pl give suggestion.thanking you.

By: Gustavo rodriguez MD

Gustavo rodriguez MD — Fri, 12 Feb 2010 02:35:48 +0000

hi
We have a patient 36 years old, six month ago we operated after lap band a seelve gastrectomy, she leaks four days after SG, we placed a covered stent and drenaige and yeyunostomy for feding by 3 month and the leaks not sealed, the gastroenterology department in Houston trated with laser and stapler, 8 days after leaks again. we make left a stent two moth more and sealed, but after 30 days of oral feeding re open the leak and have 0.5mm above the esophagogastric junction.
what can i do? or can and send you the patient?
sorry my english, we are in the Dominican REP.