Original article Editorial comment| Volume 3, ISSUE 1, P71-72, January 2007

Editorial comment

      Dr Salina’s report on the use of self-expandable metal stents (SEMS) in the treatment of gastric leaks is an important report in a number of ways. With the continued increase in patients undergoing bariatric surgical procedures comes an increase in the small but important number of patients having the known complications of leak and sepsis. Although published series have shown that nonoperative management of gastric leaks after RYGB is safe in certain circumstances, even with success the patients managed in such a way often suffer significantly. Many surgeons have become less enamored with such an approach, although operative intervention has significant risks and often is unsuccessful in completely controlling the leak. New techniques aimed at treating and minimizing the morbidity to those patients who leak are certainly necessary and have an indirect impact on the field as a whole in terms of the now closely monitored and widely published mortality rates.
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