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Splenic abcess following sleeve gastrectomy: a systematic review of clinical presentation and management methods

Sakran, Nasser, Zakeri, Roxanna, Madhok, Brijesh, Graham, Yitka, Parmar, Chetan, Mahawar, Kamal, Arhi, Chanpreet, Shah, Kamran and Pouwels, Sjaak (2021) Splenic abcess following sleeve gastrectomy: a systematic review of clinical presentation and management methods. Obesity Surgery. ISSN 0960-8923

Item Type: Article

Abstract

Background: Splenic abscess is a rare complication following Sleeve Gastrectomy.
Methods: We performed a systematic review to clarify its clinical significance, presentation, and management. PubMed, Embase, MEDLINE, Google Scholar, and The Cochrane Library were searched up to the 19th of July 2020.
Results: A total of 18 patients were included, of which 11 were female, and 7 were male. The mean age was 34.1 ± 12.3 years, and the mean body mass index was 45.8 ± 7.6 kg/m2. Type 2 diabetes mellitus was reported in 11.1% of patients, and hypertension in 22.2%. Fever was the most common presenting symptom seen in 17 (94.4%) patients, followed by abdominal pain in 10 (55.6%). The mean duration from surgery to presentation was 98.6 ± 132.7 days (range 10 -547 days). Computed Tomography was used for investigations in 17/18 (94.4%) patients. Seven patients had reported leak, three reported bleeding, and 2 reported pleural effusion. 13 patients had unilocular abscess. All patients were treated with antibiotics. 4 patients needed Total Parenteral Nutrition, and three were given Proton Pump Inhibitor. In total, 11 patients needed percutaneous drainage as a part of treatment and 11 patients needed total splenectomy, and 1 needed partial splenectomy.
Conclusion: Splenic abscess following sleeve gastrectomy is a rare identity. The etiology of formation of splenic abscess needs further studies. A computed tomography of the abdomen with contrast is the preferred diagnostic tool. There is no gold standard treatment for splenic abscess.

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More Information

Depositing User: Yitka Graham

Identifiers

Item ID: 13307
Identification Number: https://doi.org/10.1007/s11695-021-05396-9
ISSN: 0960-8923
URI: http://sure.sunderland.ac.uk/id/eprint/13307
Official URL: https://link.springer.com/article/10.1007/s11695-0...

Users with ORCIDS

ORCID for Nasser Sakran: ORCID iD orcid.org/0000-0003-2570-7822
ORCID for Yitka Graham: ORCID iD orcid.org/0000-0002-6206-1461

Catalogue record

Date Deposited: 30 Mar 2021 11:18
Last Modified: 23 Mar 2022 03:38

Contributors

Author: Nasser Sakran ORCID iD
Author: Yitka Graham ORCID iD
Author: Roxanna Zakeri
Author: Brijesh Madhok
Author: Chetan Parmar
Author: Kamal Mahawar
Author: Chanpreet Arhi
Author: Kamran Shah
Author: Sjaak Pouwels

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences

Subjects

Sciences > Nursing

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