الفهرس | Only 14 pages are availabe for public view |
Abstract Background: The introduction of the laparoscopy has widely proved its advantages over the open approach in various types of surgery. The same advantages are found in bariatric surgery with the difference that the morbid obese patients have more risks than non-obese patients for cardiopulmonary complications, infections, and wound-related complications. Aim of the Study: is to outline recent modalities in management of early complications of sleeve gastrectomy. Conclusion: A complete endoscopic approach without the need for any surgical intervention that consists of 3 stages of endoscopic treatment: Washout and drainage using natural orifices transluminal endoscopic surgery (NOTES); Diversion using a stent; Closure with glue or clips Patients who fail all these measures, need a definitive surgical intervention with more aggressive and radical treatment, including either conversion to gastric bypass, or a Roux-En-Y with a jejunal limb oversewn over the fistula, or finally in some cases a total gastrectomy with esojejunal anastomosis. |