Prevention of Leak Post Laparoscopic Sleeve Gastrostomy: A Review Study

Abstract

Obesity is an epidemic and it is associated with mortality and morbidity. Laparoscopic sleeve gastrectomy is a popular treatment, leak is a dreaded complication of it. The study aimed to identification of factors that prevent leak post laparoscopic sleeve gastrectomy. Literature search at Google, Google scholar, PMD, PMDC, databases. Also, literature from references of the articles has been looked at. They are read with emphasis on the results, causes, and preventive measures of a leak. Certain factors should be considered to prevent leak post laparoscopic sleeve gastrectomy, those related to the patients, surgeon, bougie, intragastric sleeve pressure, stapler, gastric wall thickness, crotches, proper traction of the gastric wall, without reinforcing the staple line.