Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate

Background: Obesity is becoming a worldwide health problem. Recently, bariatric surgeries are developing to combat with thisproblem. However, these surgical methods themselves have risks.Objectives: The present study investigated the preventive effect of routine leak test of both gastroje...

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Autores principales:	Masood Amini, Mohammad Hassan Hashemizadeh, Masood Sepehrimanesh, Seyedeh Leila Poorbaghi, Razieh Naseri Mojarrad, Zahra Zardosht
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2018
Materias:	obesity gastric bypass leak rate gastrojejunal anastomosis jejunojejunal anastomosis learning curve Medicine R
Acceso en línea:	https://doaj.org/article/2863beee4b4d466b9844189025e68069
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spelling	oai:doaj.org-article:2863beee4b4d466b9844189025e680692021-11-20T07:10:22ZClinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate2783-2430https://doaj.org/article/2863beee4b4d466b9844189025e680692018-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47169_b6508b6f41885611d8bf3614dc4d1d09.pdfhttps://doaj.org/toc/2783-2430Background: Obesity is becoming a worldwide health problem. Recently, bariatric surgeries are developing to combat with thisproblem. However, these surgical methods themselves have risks.Objectives: The present study investigated the preventive effect of routine leak test of both gastrojejunal and jejunojejunal anastomosesimmediately after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery against post-operative leak by inexperienced surgeons.Methods: In a prospective interventional study, this research enrolled 52 morbid obese patients with LRYGB from September 2014to October 2016. After anastomoses, methylene blue and air leak tests were performed and the section line and both anastomosissites for patency and inspected for air and dye leaks were examined.Results: Mean body mass index of patients was 48.84±6.8 kg/m2. Twelve patients had positive leak test and the anastomoses werereinforced by additional sutures. All patients were discharged with no leak and no patient had leak during the routine follow-up period.Conclusions: Intraoperative leak test of both gastrojejunal and jejunojejunal anastomoses is a valuable test in the assessment ofleak during LRYGB surgery, especially in unskilled surgeons.Masood AminiMohammad Hassan HashemizadehMasood SepehrimaneshSeyedeh Leila PoorbaghiRazieh Naseri MojarradZahra ZardoshtShiraz University of Medical Sciencesarticleobesitygastric bypassleak rategastrojejunal anastomosisjejunojejunal anastomosislearning curveMedicineRENIranian Journal of Colorectal Research, Vol 6, Iss Issues 2-3, Pp 1-6 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity gastric bypass leak rate gastrojejunal anastomosis jejunojejunal anastomosis learning curve Medicine R
spellingShingle	obesity gastric bypass leak rate gastrojejunal anastomosis jejunojejunal anastomosis learning curve Medicine R Masood Amini Mohammad Hassan Hashemizadeh Masood Sepehrimanesh Seyedeh Leila Poorbaghi Razieh Naseri Mojarrad Zahra Zardosht Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
description	Background: Obesity is becoming a worldwide health problem. Recently, bariatric surgeries are developing to combat with thisproblem. However, these surgical methods themselves have risks.Objectives: The present study investigated the preventive effect of routine leak test of both gastrojejunal and jejunojejunal anastomosesimmediately after laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery against post-operative leak by inexperienced surgeons.Methods: In a prospective interventional study, this research enrolled 52 morbid obese patients with LRYGB from September 2014to October 2016. After anastomoses, methylene blue and air leak tests were performed and the section line and both anastomosissites for patency and inspected for air and dye leaks were examined.Results: Mean body mass index of patients was 48.84±6.8 kg/m2. Twelve patients had positive leak test and the anastomoses werereinforced by additional sutures. All patients were discharged with no leak and no patient had leak during the routine follow-up period.Conclusions: Intraoperative leak test of both gastrojejunal and jejunojejunal anastomoses is a valuable test in the assessment ofleak during LRYGB surgery, especially in unskilled surgeons.
format	article
author	Masood Amini Mohammad Hassan Hashemizadeh Masood Sepehrimanesh Seyedeh Leila Poorbaghi Razieh Naseri Mojarrad Zahra Zardosht
author_facet	Masood Amini Mohammad Hassan Hashemizadeh Masood Sepehrimanesh Seyedeh Leila Poorbaghi Razieh Naseri Mojarrad Zahra Zardosht
author_sort	Masood Amini
title	Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
title_short	Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
title_full	Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
title_fullStr	Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
title_full_unstemmed	Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate
title_sort	clinical efficacy of jejunojejunostomy leak test using methylene blue during laparoscopic roux-en-y gastric bypass on post-operative leak rate
publisher	Shiraz University of Medical Sciences
publishDate	2018
url	https://doaj.org/article/2863beee4b4d466b9844189025e68069
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Clinical Efficacy of Jejunojejunostomy Leak Test Using Methylene Blue During Laparoscopic Roux-en-Y Gastric Bypass on Post-Operative Leak Rate

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