Combined use of endoscopy to guide laparoscopic management of intra-luminal bleeding from the staple-line following sleeve gastrectomy: a video case report.

Unlike Roux-en-Y gastric bypass (RYGB) where “intra-luminal” bleeding is relatively common from the anastomosis(1-5), “intra-luminal” hemorrhage from the staple-line is extremely rare after sleeve gastrectomy (SG). Unstable hemodynamics after aggressive medical treatment will require emergency re-intervention. The preferred option in t he management of intra-luminal anastomotic bleeding following a RYGB is gastroscopic hemostasis, providing the anastomosis is accessible.(1-5) However, intra-luminal staple-line bleeding after an SG may well be an exception to this management algorithm.

Source: Surgery for Obesity and Related Diseases - April 24, 2020 Category: Surgery Authors: İsmail Çalıkoğlu, Hülya Hamzaoğlu, Mehmet Ali Yerdel Tags: VIDEO CASE REPORT Source Type: research