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

Completed

• Conditions: Obesity; Sepsis
• Interventions: Procedure: endoscopic drainage

• Registration Number: NCT02266901
• Lead Sponsor: Erasme University Hospital

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.

Detailed Description

This retrospective study in an academic tertiary center will review the files of patients who underwent endoscopic drainage and debridement of abdominal abscesses secondary to bariatric surgery leaks . The decision for endoscopic treatment was made by the medico-surgical team in charge of this type of surgery, who had to weigh the high risk of mortality in case of re-intervention, along with endoscopic access to abscesses via the transluminal or percutaneous route based on abdominal imaging.

Data collection will lead to the evaluation of the technical success rate, the clinical success and potential complications.

Study Timeline

• Study Start: 2007-10
• Primary Completion: 2014-09
• Study Completion: 2014-09
• Status Verified: 2014-10
• Study First Submitted: 2014-10-08
• Study First Submitted QC: 2014-10-16
• Last Update Submitted: 2014-10-16
• Study First Posted: 2014-10-17
• Last Update Posted: 2014-10-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 9

Inclusion Criteria

• 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

Exclusion Criteria

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Cases (endoscopic drainage)	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.

Primary Outcome Measures

Name	Time	Method
Intervention technical success	during the procedure	success to pass the scope and perform abcess debridement of the targeted collection

Secondary Outcome Measures

Name	Time	Method
Clinical success	7 days	success to control sepsis after endoscopic drainage