Clinical analysis of 8 cases with gastric leakage after laparoscopic sleeve gastrectomy

Objective To summarize the experience of treatment for gastric leak after laparoscopic sleeve gastrectomy. Methods From January 2011 to June 2019, 8 cases of gastric leak after laparoscopic sleeve gastrectomy were retrospectively analyzed in Chengdu Third People's Hospital. Eight patients were treated with non-surgical treatments such as "internal decompression and external drainage" . The patients' clinical datas such as gender, age, BMI, and time of gastric leak were recorded. The patients were typed according to their clinical characteristics. The differences of types and treatment were compared. Results Six patients were cured by non-surgical treatments including decompression and drainage. One patient was converted to surgery for intolerance of gastrointestinal decompression. The other one was converted to surgery for the recurrence of gastric leak after non-surgical treatment. All of the patients eventually recovered. Conclusions The classification based on the patient's clinical characteristics is helpful to the choice of treatment and prognosis. The treatments of decompression and drainage are safe and effective for gastric leak. Key words: Laparoscopic surgery; Sleeve gastrectomy; Leak