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New Endoscopic Devices and Techniques for the Management of Post-Sleeve Gastrectomy Fistula and Gastric Band Migration.
J Clin Med
August 2024
Gastroenterology and Digestive Endoscopy Unit, Forli-Cesena Hospitals, AUSL Romagna, 47121 Forlì, Italy.
Article Synopsis
- Post-sleeve gastrectomy fistulas are serious complications often treated with endoscopy, providing options like stent or clip placements.
- Newer endoscopic techniques, such as vacuum therapy and suturing, are gaining attention in the treatment landscape.
- Additionally, the narrative review evaluates the challenges of reoperating after gastric band migration and considers endoscopic retrieval as a non-invasive solution.
Rationale and tips and tricks for transgastric robotic pancreaticogastrostomy by the double purse-string technique.
Updates Surg
September 2024
Division of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Pancreaticogastrostomy (PG) is a viable option for selected patients needing a pancreatic anastomosis. The double purse-string technique can facilitate the construction of transgastric PG but in a minimally invasive approach can lead to complications due to lack of tactile feedback. We present an adaptation of double purse-string PG for the robotic surgery, with several modifications.
View Article and Find Full Text PDFEndoscopic Administration of Combined Autologous Mesenchymal Stem Cells and Platelet-Rich Plasma for the Treatment of Gastric Staple Line Leaks After Sleeve Gastrectomy.
Obes Surg
January 2024
Department of Minimally Invasive Digestive & Bariatric Surgery, Metropolitan Hospital, HEAL Academy, 9 Ethnarchou Makariou & 1 Venizelou Streets, Neo Faliro, 18547, Athens, Greece.
Background: Gastric staple line leak treatment after laparoscopic sleeve gastrectomy (LSG) remains challenging. Regenerative medicine is gaining place in the accelerated treatment of damaged tissues. This study presents the first series of gastric leak treatment after LSG using endoscopic intragastric administration of combined autologous mesenchymal stem cells (MSC) and platelet-rich plasma (PRP).
View Article and Find Full Text PDFManagement of esophagogastric fistula caused by adjustable gastric band erosion: A case report and literature review.
Obes Res Clin Pract
November 2023
School of Medicine, Nankai University, Tianjin 300071, China; Department & Institute of General Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China. Electronic address:
Laparoscopic adjustable gastric banding (LAGB) is commonly used in the treatment of morbid obesity. However, with clinical application and long-term follow-up, the shortcomings of this procedure were also exposed, bringing about surgery-related complications include dysphagia, intragastric band migration, slippage, and gastric band erosion. Lower esophageal and gastric fistula is a rare but dangerous complication after LAGB.
View Article and Find Full Text PDFDuodenocolic fistula healing by pentadecapeptide BPC 157 in rats. A cytoprotection viewpoint.
J Physiol Pharmacol
February 2024
Department of Pharmacology, Medical Faculty, University of Zagreb, Zagreb, Croatia.
Using duodenocolic fistula in rats, this study attempts to highlight the particular cytoprotection aspects of the healing of fistulas and therapy potential of the stable gastric pentadecapeptide BPC 157, a cytoprotection mediator (i.e. upgrading minor vessels to induce healing at both fistula's sides).
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