Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?

Background: Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile. Aim: To examin...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Medina,Francisco J, Miranda-Merchak,Andrés, Martínez,Alonso, Sánchez,Felipe, Bravo,Sebastián, Contreras,Juan Eduardo, Alliende,Isabel, Canals,Andrea
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Anastomotic Leak Bariatric Surgery Upper Gastrointestinal Tract
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400005
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872016000400005
record_format	dspace
spelling	oai:scielo:S0034-988720160004000052016-07-01Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?Medina,Francisco JMiranda-Merchak,AndrésMartínez,AlonsoSánchez,FelipeBravo,SebastiánContreras,Juan EduardoAlliende,IsabelCanals,Andrea Anastomotic Leak Bariatric Surgery Upper Gastrointestinal Tract Background: Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile. Aim: To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery. Material and Methods: A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy. Results: Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%. Conclusions: Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.4 20162016-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400005es10.4067/S0034-98872016000400005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anastomotic Leak Bariatric Surgery Upper Gastrointestinal Tract
spellingShingle	Anastomotic Leak Bariatric Surgery Upper Gastrointestinal Tract Medina,Francisco J Miranda-Merchak,Andrés Martínez,Alonso Sánchez,Felipe Bravo,Sebastián Contreras,Juan Eduardo Alliende,Isabel Canals,Andrea Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
description	Background: Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile. Aim: To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery. Material and Methods: A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy. Results: Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%. Conclusions: Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique.
author	Medina,Francisco J Miranda-Merchak,Andrés Martínez,Alonso Sánchez,Felipe Bravo,Sebastián Contreras,Juan Eduardo Alliende,Isabel Canals,Andrea
author_facet	Medina,Francisco J Miranda-Merchak,Andrés Martínez,Alonso Sánchez,Felipe Bravo,Sebastián Contreras,Juan Eduardo Alliende,Isabel Canals,Andrea
author_sort	Medina,Francisco J
title	Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
title_short	Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
title_full	Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
title_fullStr	Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
title_full_unstemmed	Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
title_sort	utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000400005
work_keys_str_mv	AT medinafranciscoj utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT mirandamerchakandres utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT martinezalonso utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT sanchezfelipe utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT bravosebastian utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT contrerasjuaneduardo utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT alliendeisabel utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario AT canalsandrea utilidaddelestudiocontrastadoprecozdeltractodigestivosuperiordespuesdecirugiabariatricasejustificasuusorutinario
_version_	1718436875864113152

Utilidad del estudio contrastado precoz del tracto digestivo superior después de cirugía bariátrica: ¿se justifica su uso rutinario?

Ejemplares similares