Evaluating the Impact of Intraoperative Leak Testing on Postoperative Complications in Sleeve Gastrectomy: A Retrospective Comparative Study | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 4, October 2025, Pages 368-373 PDF (320.35 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.416271.1233 | ||
| Authors | ||
| Mohamed Khidr Mohamed* ; Mohamed Hossam Eldin Mohamed; Mohamed Hafez Seyam; Ahmed Elshazli Mahmoud; Amr Elsayed Madyan; Mohamed Abdulrazek Abdullateef | ||
| Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt | ||
| Abstract | ||
| Introduction: During sleeve gastrectomy (SG), intraoperative leak testing (IOLT) is often done to detect problems with the staple lines before the surgery is finished. Despite being widely used, there is still only limited and uneven evidence to support its ability to predict or stop surgical gastric leak (GL). Aim of work: The aim of this study was to find out if there was a link between IOLT and GL after surgery in people who were having SG. Patients and methods: This retrospective comparative study was conducted on 400 patients, both sexes, aged 18-65 years, body mass index (BMI ≥ 40 kg/m2) or with obesity-related comorbidities), and Scheduled for SG. Patients were divided into two equal groups: Group I underwent IOLT with SG, while Group II underwent SG without IOLT. Data were collected from surgical databases and medical records. Results: IOLT was negative in all patients in Group I. No significant differences were found in postoperative leak rates at 2 weeks, 30 days, or 3 months ((1.5% vs 0.5%, 0 vs 0 and 0 vs 0, respectively, P > 0.05). IOLT showed 0% sensitivity and 98.5% specificity, with 0% positive predictive value and 100% negative predictive value. No significant differences were observed in operative time, hospital stay, complications, or readmission. Conclusions: IOLT showed no added benefit in reducing postoperative complications after SG and failed to detect cases of leak, demonstrating zero sensitivity despite high specificity. These findings suggest that routine IOLT offers limited clinical value in SG and may be unnecessary in standard, uncomplicated cases. | ||
| Keywords | ||
| Sleeve gastrectomy; intraoperative leak testing; gastric leak; bariatric surgery; complications | ||
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