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Endoscopic management of acute leak after sleeve gastrectomy: principles and techniques

2021; Thieme Medical Publishers (Germany); Volume: 54; Issue: 07 Linguagem: Inglês

10.1055/a-1525-1661

1438-8812

Diogo Turiani Hourneaux de Moura, João Remí de Freitas Júnior, Gabriel Mayo Vieira de Souza, Guilherme Henrique Peixoto de Oliveira, Thomas R. McCarty, Christopher C. Thompson, Eduardo Guimarães Hourneaux de Moura,

Gastroesophageal reflux and treatments

Although laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery worldwide, postsleeve leaks may occur in up to 5.3 % of patients [1]. More recently, novel endoscopic draining therapies including endoscopic vacuum therapy, septotomy, and the use of endoluminal double-pigtail stents (DPS) have been deployed [2] [3] [4]. In this video, we describe successful endoscopic internal drainage of a perigastric sleeve leak using DPS ([Video 1]).