TY - JOUR AU - Schwarz, Jens; Strobl, Frederik Franz; Paprottka, Philipp M; D’Anastasi, Melvin; Spelsberg, Fritz W.; Rentsch, Markus; Reiser, Maximilian; Trumm, Christoph Gregor TI - CT Fluoroscopy-Guided Drain Placement to Treat Infected Gastric Leakage after Sleeve Gastrectomy: Technical and Clinical Outcome of 31 Procedures TT - CT-fluoroskopisch gesteuerte Drainageneinlage in abdominelle Verhalte bei Nahtinsuffizienz nach Sleeve-Gastrektomien: technische und klinische Resultate von 31 Prozeduren SN - 1438-9029 SN - 1438-9010 PY - 2020 JO - Rofo JF - RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren LA - DE VL - 192 IS - 02 SP - 163 EP - 170 ET - 2019/08/28 DA - 2020/01/28 KW - gastric leakage KW - drainage KW - fluoroscopy KW - sleeve gastrectomy AB - Purpose To observe the technical and clinical outcome as well as safety of CT fluoroscopy-guided drain placement in the multimodal clinical complication management of superinfected gastric leakage after sleeve gastrectomy.Materials and Methods All consecutive patients who underwent CT fluoroscopy-guided drain placement to treat superinfected postoperative leakage after sleeve gastrectomy in our department between 2007 and 2014 were included in this retrospective study. All interventions were performed on a 16- or 128-row CT scanner under intermittent CT fluoroscopy guidance (15–25 mAs, 120 kV). The technical and clinical success rates as well as complications, additional therapies and patient radiation dose were analyzed.Results 14 patients (mean age: 43.8 ± 11.3 years, mean BMI: 52.9 ± 13.5, 7 women) who underwent a total of 31 CT fluoroscopy-guided drain placement procedures were included. 30 of 31 interventions (96.8 %) were technically successful. 7 patients underwent more than one intervention due to drain obstruction or secondary dislocation or as further treatment. During and after the intervention no procedure-associated complications occurred. In all patients, inflammation parameters decreased within days after the CT-guided intervention. The total interventional dose length product (DLP) was 1561 ± 1035 mGy*cm.Conclusion CT fluoroscopy-guided drain placement has been shown to be a safe minimally invasive procedure that rarely leads to complications for treating superinfected gastric leakage occurring after sleeve gastrectomy. We assume that operative revisions in a high-risk patient group can be avoided using this procedure.Key Points: Citation Format PB - © Georg Thieme Verlag KG DO - 10.1055/a-0977-3496 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-0977-3496 ER -