RT Journal Article
T1 Clinical outcomes of pre-attached reinforced stapler reloads in bariatric surgery: A prospective case series
A1 Ahmed, Ahmed
A1 Morales-Conde, Salvador
A1 Legrand, Marc
A1 Nienhuijs, Simon
A1 Himpens, Jacques
A1 Jiao, Long R.
A1 Facy, Olivier
K1 Surgical stapling
K1 Staple line reinforcement
K1 Roux-en-Y gastric Bypass
K1 Laparoscopic sleeve gastrectomy
K1 Adverse events
K1 Case series
K1 Line reinforcement
K1 Sleeve gastrectomy
K1 Gastric bypass
K1 Air leaks
K1 Complications
K1 Prevention
K1 Experience
K1 Resection
K1 Reduce
AB Background: Staple line reinforcement during surgery may decrease morbidity or reduce the risk of staple line leaks and bleeding. There is debate regarding the benefit, safety, and best form of reinforcement. This case series characterizes the safety of a stapler with a pre-attached buttress in bariatric surgeries.Methods: This prospective, multicenter, post-market study examined the use of stapler reloads with built in reinforcement material. The primary endpoint is the incidence of reported device-related adverse events up to 30 days after laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (SG) surgeries. Specific outcomes included bleeding (>= 50 mL), leaks, and 30-day readmissions. Outcomes: A total of 51 patients (19 RYGB, 32 SG) were assessed after exclusion criteria were applied. Intraoperatively, no leaks or bleeding related to the staple line occurred. Four patients (8% overall, 3 RYGB, 1 SG) experienced bleeding unrelated to the staple line and staple line intervention, in these cases, was not required. Four subjects (8%, all SG) required readmission and each were attributed as unrelated to the investigational device. No unanticipated device-related events were observed. Two adverse events (bleeding) occurred post-operatively that were attributed as possibly related to the device; both were endoscopically managed.Conclusions: This study demonstrates that there were no serious safety concerns from the AEs observed related to reinforced reload use during or in the 30-day course after 51 common bariatric procedures in a multicenter setting. (C) 2021 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.
PB Elsevier sci ltd
SN 2405-8572
YR 2021
FD 2021-04-19
LK http://hdl.handle.net/10668/18799
UL http://hdl.handle.net/10668/18799
LA en
DS RISalud
RD Apr 9, 2025