Search

This article discusses the complications that can arise from Laparoscopic Sleeve Gastrectomy (LSG), a commonly performed bariatric procedure. The article highlights the serious and sometimes fatal complications that can occur, such as staple line leaks and bleeding. The authors share a case study of a patient who developed a distal staple line leak that resulted in a peri-gastric blood collection. They describe the use of endoscopic internal drainage with double pigtails as a treatment option, which led to a resolution of symptoms and reduction of the blood collection. The article concludes that internal drainage can be effective in managing peri-gastric blood collections following LSG. [Extracted from the article]

Endoscopy has become the first-line therapy of post-bariatric leaks and fistulas, except in unstable patients where a surgical approach is preferred. Keywords: Obesity; Bariatric surgery; Leak; LSG; Endoscopy EN Obesity Bariatric surgery Leak LSG Endoscopy 3710 3711 2 10/30/23 20231101 NES 231101 Key Points • Endoscopy has become the first-line therapy of post-bariatric leaks and fistulas, except in unstable patients where a surgical approach is preferred. • Even in the case of a complete dehiscence of the sutures post-LSG, the possibility of placing an enteral metal stent can be considered. [Extracted from the article]