Journal of Obesity & Weight Loss Therapy
Open Access

Opinion Article

Percutaneous Transesophageal Gastro-tubing: A New Treatment Strategy for Gastric Leakage after Sleeve Gastrectomy

¹Department of Surgery, Toho University Medical Center, Sakura Hospital, Japan

²Department of Surgery, Murayama Medical Center, National Hospital Organization, Japan

*Corresponding Author:

Takashi Oshiro
Department of Surgery, Toho University Medical Center
Sakura Hospital, 564-1 Shimoshizu, Sakura, Chiba, 285-8741, Japan
Tel: 043-462-8811
Fax: 043-462-8820
E-mail: oshiro@sakura.med.toho-u.ac.jp

Received date: June 09, 2017; Accepted date: June 14, 2017; Published date: June 19, 2017

Citation: Oshiro T, Oishi H, Okazumi S, Katoh R (2017) Percutaneous Transesophageal Gastro-tubing: A New Treatment Strategy for Gastric Leakage after Sleeve Gastrectomy. J Obes Weight Loss Ther 7: 342. doi:10.4172/2165-7904.1000342

Copyright: © 2017 Oshiro T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

The number of laparoscopic sleeve gastrectomy (LSG) performed worldwide is increasing continuously. Serious complications are relatively rare, but staple line leakage after LSG remains one of the most dreaded acute complications. Endoscopic treatments play a major role in treating sleeve leakage after initial surgical or percutaneous perigastric abscess control. Despite the high success rate of endoscopic treatments, some patients who fail treatment can develop refractory chronic leakage or fistula; therefore, they require revision operation such as Roux-en-Y gastric bypass or even total gastrectomy. We herein comment on percutaneous transesophageal gastro-tubing (PTEG) as a non-endoscopic, non-surgical alternative treatment option in patients for whom it may be desirable to avoid complex reoperation for sleeve leakage.

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