A471 Early Gastric Sleeve Leak Treated with Endoprosthesis: A Case Report and Review of Literature

A 50 year old female with recent sleeve gastrectomy presented with 24-hours of severe abdominal pain. Her vital signs and labs were grossly normal; however CT demonstrated inflammatory changes to her stomach and abdomen likely secondary to perforation. The patient underwent emergent diagnostic laparoscopy where the staple line was examined with no obvious leak, gastric fistula, or abscess. An endoscopic provocative air leak test was performed with no evidence of leak. Due to high clinical suspicion, an upper GI series was obtained and demonstrated focal contrast leak from the gastric cardia.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research