title: Minimally invasive management of anastomotic leak after bariatric Roux-en-Y gastric bypass.
abstract: The aim of this retrospective study was to examine the anastomotic erosion due to drain and success of fibrin sealant in its management. Between 2013 and 2014, 102 patients underwent LRYGB and gastrojejunal anastomotic leak occurred due to drain erosion in 2 of them. The diagnosis was established with saliva drainage and was confirmed by upper gastrointestinal series. The absence of hemodynamic instability was directed us to conservative treatment. During the endoscopy, dehiscence was assessed and fibrin sealant was applied. The leaks healed progressively in a few days, and the drains removed within 6 days. Seven and 9 days later, the patients were discharged without any problem. Anastomotic leaks after bariatric surgery can cause severe morbidity, cost, and effects quality of life. Hemodynamically stable and drained patients are candidates for conservative methods. Endoscopic injection of fibrin sealant has been successful in closing gastric leaks.
authors.affiliation: Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey.
authors.forename: Ilhan
authors.initials: I
authors.lastname: Ece
authors.affiliation: Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Yilmaz
authors.affiliation: Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey.
authors.forename: Husnu
authors.initials: H
authors.lastname: Alptekin
authors.affiliation: Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey.
authors.forename: Fahrettin
authors.initials: F
authors.lastname: Acar
authors.affiliation: Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Yormaz
authors.affiliation: Department of Surgery, Selcuk University, Faculty of Medicine, Konya, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sahin
keywords: Drain erosion; endoscopy; fibrin sealant; gastrojejunal leak; morbid obesity