PostOpLeaksBariatricSurgery

PostOpLeaksBariatricSurgery - Post Operative Leaks Alex...

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Alex Gandsas, MD, FACS Head , Division of Bariatric and Minimally Invasive Surgery Post Operative Leaks
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Statistics 1990 -> 16,000 procedures 2003 -> 103,000 Procedures Gandsas Post Operative Leaks 2005 -> 140,000 Procedures
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Gandsas Post Operative Leaks Complications: Leaks ………………………. . 2-4% DVT ………………………… 2% Pulmonary Embolism ……. .. <1% Small Bowel Obstruction …. . 2% Strictures …………………. ... 15% Stoma Ulcers ………………. 2-4% Incisional Hernias …………. .. 20%
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Gandsas Post Operative Leaks Epidemiology: Open: 1.6% Laparoscopy 3- 4% Revisions 35% Marshall JS. Arch Surg. 2003. 138:520-524
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Gandsas Post Operative Leaks Leaks: Esophageal Perforation (4 %) Gastro Jejunostomy (52%) Remnant Stomach (8%) Small bowel perforation (30%) Jejuno jejunostomy (4%) Schauer PR. 2002
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Gandsas Post Operative Leaks Etiology Technical Challenges Anatomy (Liver Size) Tension Blood Supply
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This note was uploaded on 01/12/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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PostOpLeaksBariatricSurgery - Post Operative Leaks Alex...

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