The Effect of Different Staple Sizes on Leak Pressure Among Patients Undergoing Sleeve Gastrectomy: a Pilot Study

Ihav Hajeychia; Shmuel Avital; Vitaly Tyomkin; Nitzan Goldberg; Roye Inbar

doi:10.1007/s11695-023-06491-9

The Effect of Different Staple Sizes on Leak Pressure Among Patients Undergoing Sleeve Gastrectomy: a Pilot Study

Ihav Hajeychia, Shmuel Avital^*, Vitaly Tyomkin, Nitzan Goldberg, Roye Inbar

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Article › peer-review

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Abstract

Gastric leak after LSG is a devastating complication, reported in less than 1% of cases. Consensus is lacking regarding the best approach to construct the sleeve, staple sizes, and reinforcement methods on potential leak development. In this study, we have compared the leak pressure of two different staple sizes in the resected portion of the stomach, immediately after its removal. Fifteen patients were enrolled. Leak pressure of a vascular, small-size stapler was significantly higher than that of a medium-size one. All leaks appeared in the proximal third of the resected stomach. These results may have clinical implication. Since other factors may play a role in the risk for leaks following sleeve gastrectomy, a large, prospective clinical trial should be performed comparing the two staple sizes in laparoscopic sleeve gastrectomy. Graphical abstract: [Figure not available: see fulltext.]

Original language	English
Pages (from-to)	1292-1294
Number of pages	3
Journal	Obesity Surgery
Volume	33
Issue number	4
DOIs	https://doi.org/10.1007/s11695-023-06491-9
State	Published - Apr 2023

Keywords

Leak pressure
Leaks
Sleeve gastrectomy
Staplers

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10.1007/s11695-023-06491-9

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title = "The Effect of Different Staple Sizes on Leak Pressure Among Patients Undergoing Sleeve Gastrectomy: a Pilot Study",

abstract = "Gastric leak after LSG is a devastating complication, reported in less than 1% of cases. Consensus is lacking regarding the best approach to construct the sleeve, staple sizes, and reinforcement methods on potential leak development. In this study, we have compared the leak pressure of two different staple sizes in the resected portion of the stomach, immediately after its removal. Fifteen patients were enrolled. Leak pressure of a vascular, small-size stapler was significantly higher than that of a medium-size one. All leaks appeared in the proximal third of the resected stomach. These results may have clinical implication. Since other factors may play a role in the risk for leaks following sleeve gastrectomy, a large, prospective clinical trial should be performed comparing the two staple sizes in laparoscopic sleeve gastrectomy. Graphical abstract: [Figure not available: see fulltext.]",

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author = "Ihav Hajeychia and Shmuel Avital and Vitaly Tyomkin and Nitzan Goldberg and Roye Inbar",

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AU - Goldberg, Nitzan

AU - Inbar, Roye

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AB - Gastric leak after LSG is a devastating complication, reported in less than 1% of cases. Consensus is lacking regarding the best approach to construct the sleeve, staple sizes, and reinforcement methods on potential leak development. In this study, we have compared the leak pressure of two different staple sizes in the resected portion of the stomach, immediately after its removal. Fifteen patients were enrolled. Leak pressure of a vascular, small-size stapler was significantly higher than that of a medium-size one. All leaks appeared in the proximal third of the resected stomach. These results may have clinical implication. Since other factors may play a role in the risk for leaks following sleeve gastrectomy, a large, prospective clinical trial should be performed comparing the two staple sizes in laparoscopic sleeve gastrectomy. Graphical abstract: [Figure not available: see fulltext.]

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The Effect of Different Staple Sizes on Leak Pressure Among Patients Undergoing Sleeve Gastrectomy: a Pilot Study

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Keywords

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