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

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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.

Item Type: Article
Subjects: Sciences > Nursing
Divisions: Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Depositing User: Yitka Graham
Date Deposited: 30 Mar 2021 11:18
Last Modified: 16 Apr 2021 15:46
URI: http://sure.sunderland.ac.uk/id/eprint/13307
ORCID for Nasser Sakran: ORCID iD orcid.org/0000-0003-2570-7822
ORCID for Yitka Graham: ORCID iD orcid.org/0000-0002-6206-1461

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