Total gastrectomy for failed treatment with endotherapy of chronic gastrocutaneous fistula after sleeve gastrectomy

e a g w m m s l 8 Sleeve gastrectomy has spread rapidly as a single standalone surgical procedure for the treatment of morbid obesity. It is considered a rapid procedure with good short-term results and low morbidity, although it can be associated with serious complications such as leakage at the esophagogastric junction. Little is known about this complication and its treatment. It can usually be treated with coated self-expandable stents; however, when this fails, leakage at the angle of His can be challenging for the surgeon, requiring complex surgical procedures.