Transluminal or Percutaneous Endoscopic Drainage and Debridement of Abcesses After Bariatric Surgery

NCT02266901 | Completed

• 1 other identifier: Bariatric endoscopic drainage
• Study Type: observational
• Target: 9
• Locations: 0 countries
• Sites: N/A

Brief Summary

Patients presenting intra-abdominal abcesses following bariatric surgery complicated by fistulae are classically treated by external drainage and endoprosthesis or surgical redo. Morbidity and mortality being increased in case of necrotic collections, an endoscopic debridement treatment might be proposed in certain cases. This present study aim to review the evolution of the patients treated by this method from 2007 to 2011 in the investigators institution.

Conditions

Obesity; Sepsis

Keywords

leaks after bariatric surgery; fistulae after bariatric surgery; abdominal abcesses and bariatric surgery; endoscopic drainage of abcesses; percutaneous drainage of abcesses; gastric bypass; sleeve gastrectomy; necrotic collection and bariatric surgery

Outcome Measures

Primary Outcomes (1)

• Intervention technical success

  success to pass the scope and perform abcess debridement of the targeted collection

  during the procedure

Secondary Outcomes (1)

• Clinical success

  7 days

Study Arms (1)

Cases (endoscopic drainage)

Septic patients presenting post-bariatric collections related to leaks not adequately drained by percutaneous drain, for whom endoscopic drainage of the collections was performed by transluminal or percutaneous route.

Procedure: endoscopic drainage

Interventions

endoscopic drainage PROCEDURE

Endoscopic percutaneous access was obtained through surgical drains or after ultrasound-guided percutaneous drainage with a thin scope , and transluminal procedures with large scopes through the leak hole. All the procedures were performed under general anesthesia and carbon dioxide insufflation. Debridement was done by pus aspiration and irrigation.

Cases (endoscopic drainage)

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

All the patient treated in an academic tertiary center (Erasme Hospital) who underwent endoscopic drainage and debridement of abdominal abscesses secondary to postbariatric surgery leaks from october 2007 to April 2011. All other necrosectomies performed for pancreatic disorders were excluded from the study

You may qualify if:

• All the patient treated in an academic tertiary center who underwent endoscopic drainage and debridement of abdominal abscesses secondary to bariatric surgery leaks from october 2007 to April 2011
• septic state

You may not qualify if:

• All other necrosectomies performed for pancreatic disorders were excluded from the study

Sponsors & Collaborators

• Erasme University Hospital: lead

MeSH Terms

Conditions

Obesity; Sepsis

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Infections; Systemic Inflammatory Response Syndrome; Inflammation; Pathologic Processes

Study Officials

• Jacques Devière, MD, PhD

  Erasme Hospital, ULB

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 8, 2014
• First Posted: October 17, 2014
• Study Start: October 1, 2007
• Primary Completion: September 1, 2014
• Study Completion: September 1, 2014
• Last Updated: October 17, 2014

Record last verified: 2014-10