Genc Volkan, Sulaimanov Marlen, Kırımker Elvan Onur, Sevim Yusuf, Ensari Cemal
1 Department of Surgery, Ankara University School of Medicine , Sıhhiye, Ankara, Turkey .
J Laparoendosc Adv Surg Tech A. 2015 May;25(5):401-5. doi: 10.1089/lap.2014.0530. Epub 2015 Apr 28.
Sleeve gastrectomy is an effective and single stand-alone surgical procedure for the treatment of morbid obesity. One of the most frequent and serious complications of this procedure is staple-line leak. It can usually be treated with self-expandable stents. If this process results in failure and gastrocutaneous fistula occurs, a challenging period starts for the patient and the surgeon. We describe a new, relatively simple and quick endoscopic technique for closing a chronic gastrocutaneous fistula. A plug prepared with porcine acellular dermal matrix was used for this purpose. Gastrocutaneous fistula following an obesity surgery can be successfully treated endoscopically with this technique. This method can prevent the need for aggressive reconstructive surgery following a gastrocutaneous fistula and can prompt rapid improvement while decreasing the average hospital stay for this condition.
袖状胃切除术是治疗病态肥胖的一种有效且独立的外科手术。该手术最常见且严重的并发症之一是吻合口漏。通常可用自膨式支架进行治疗。如果此过程失败并发生胃皮肤瘘，患者和外科医生将面临一个具有挑战性的时期。我们描述了一种用于闭合慢性胃皮肤瘘的新的、相对简单且快速的内镜技术。为此使用了由猪脱细胞真皮基质制备的封堵器。肥胖手术后的胃皮肤瘘可用此技术成功地进行内镜治疗。该方法可避免胃皮肤瘘后进行侵袭性重建手术的必要性，并能在缩短这种情况的平均住院时间的同时促使病情迅速改善。
