Laparoscopic repair of chronic staple line fistula with roux-en-y anastomosis that preserves the sleeve gastrectomy

Laparoscopic sleeve gastrectomy (SG) is nowadays the most popular bariatric procedure performed for treatment of obesity (1). One of the potential early complication is the gastric leak (2), which remains difficult to be treated especially if it is located in the upper segment of the stomach. The early gastric leak is usually treated by endoscopy with successful results in 67,1-92 % of the cases (3). The endoscopic treatments consist in the placement of self-expanding stents, over-the-scope clips (OTSC), or fibrin glue (3), or to perform endoscopic septotomy (4) or to finally create an endoscopic fistula-jejunostomy (5).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: VIDEO CASE REPORT Source Type: research