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Value of Routine Gastrografin Upper Gastrointestinal Study After Sleeve Gastrectomy
JAMA Surgery ( IF 16.9 ) Pub Date : 2019-02-01 , DOI: 10.1001/jamasurg.2018.3197
Dominic J. Vitello 1 , Joseph M. Vitello 2 , Joy Beach-Bachmann 2 , David Bentrem 2
Affiliation  

Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure worldwide.1 Leak rates between 0% and 5.5% have been reported.2 The long staple line and high intraluminal pressure synergize to create the risk for leaks.3 Leaks are difficult to manage, and 80% of leaks occur after hospital discharge.4 Many surgeons believe that routine gastrografin upper gastrointestinal (GUGI) series on postoperative day 1 or 2 can aid in earlier identification and intervention and can minimize morbidity and mortality in patients who develop a leak.3 This practice is controversial4 and adds to health care cost and radiation exposure, and it should be abandoned.



中文翻译:

胃袖切除术后常规胃肠移植素上消化道研究的价值

腹腔镜袖胃切除术(LSG)是目前世界上执行最频繁的减肥手术。1据报道泄漏率在0%到5.5%之间。2长钉线和高腔内压力​​协同作用会产生泄漏风险。3泄漏难以处理,并且80%的泄漏发生在出院后。4许多外科医生认为,术后第1天或第2天进行常规胃胃泌素上消化道(GUGI)系列检查有助于早期发现和干预,并且可以最大程度地降低发生渗漏的患者的发病率和死亡率。3这种做法是有争议的4,并且会增加医疗保健成本和辐射暴露,因此应放弃。

更新日期:2019-02-20
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