Mind the Gap: Successful Endoscopic Closure of a Large Gastric Sleeve Leak Using an Endoscopic Stent and Over-the-Scope Clips

Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is regarded as a simple, low-cost procedure achieving significant weight loss within a short period of time. LSG is considered a safe procedure with a relatively low complication rate. The complicatio...

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Published inCase reports in gastroenterology Vol. 11; no. 3; pp. 763 - 768
Main Authors Anastasiou, Jiannis, Hussameddin, Anas, Al Quorain , Abdulaziz
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 07.12.2017
Karger Publishers
Subjects
Abdomen
Case reports
Endoscopic stent
Endoscopy
Fistula
Gastric leak
Gastrointestinal surgery
Laparoscopy
Mortality
Nutrition research
Obesity
Over-the-scope clip
Pain
Patients
Sepsis
Single Case
Stents
Weight control
Gastric leak
Over-the-scope clip
Endoscopic stent
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Summary:Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is regarded as a simple, low-cost procedure achieving significant weight loss within a short period of time. LSG is considered a safe procedure with a relatively low complication rate. The complications encountered nevertheless can result in significant morbidity and may even be lethal. The most significant complications are staple-line bleeding, stricture, and staple-line leak. The purpose of this paper is to present a case of a 31-year-old patient complicated by a 3.06 cm staple-line leak 10 days after LSG. Review of the current literature regarding this complication as well as outline of a strategy for the management of large post-LSG gastric leaks is suggested.
ISSN:1662-0631
1662-0631
DOI:10.1159/000485239