Laparoscopic wedge resection of the proximal sleeve and handsewn esophagosleeve anastomosis for repair of complicated staple line leak

Laparoscopic sleeve gastrectomy (LSG) became the most popular bariatric procedure performed in the obesity field [1]. In front of a postoperative complication, like the gastric leak [2], there is no standard recommended treatment, hence its management becomes challenging. Treatment, overall if the patient is clinically stable, is by endoscopic placement of endoprosthesis [3] or double-pigtail drains. Recently, this latter option became popular, with a successful leak closure of 83.41% [4]. Complications related to the deployment of double-pigtails drain include bleeding, ulceration at the tip of the stent, and migration [5].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Video case report Source Type: research