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Case Reports
. 2021 Apr 17;13(4):e14532.
doi: 10.7759/cureus.14532.

Delayed Post-Laparoscopic Sleeve Gastrectomy Leak Successfully Treated With Endoscopic Clips and Tissue Adhesive: Case Report and Literature Review

Abbas A Mohamed  1 , Ahmed A Humaida  2 , Ahmad S Qureshi  2
Affiliations
Case Reports

Delayed Post-Laparoscopic Sleeve Gastrectomy Leak Successfully Treated With Endoscopic Clips and Tissue Adhesive: Case Report and Literature Review

Abbas A Mohamed et al. Cureus. .

Abstract

Since it was first introduced, laparoscopic sleeve gastrectomy (LSG) has gained wide popularity and it is one of the most performed bariatric surgical procedures for weight reduction throughout the world. LSG is a simple and effective procedure for the reduction of excess body weight, but it is not without serious complications. We present a case of a 46-year-old obese male with multiple co-morbidities who presented with a delayed post-LSG leak that was successfully managed with endoscopic clips and tissue adhesive.

Keywords: delayed leak; endoscopic chips; gastric leak; gi; laparoscopic sleeve gastrectomy.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. An oral contrast study with gastrografin showing the normal passage of contrast through the esophagus, the stomach to the small bowel without evidence of stenosis or leakage.
Figure 2
Figure 2. CT scan image (sagittal view) showing fluid collection next to the upper lateral aspect of the gastric tube with contrast leak (the white arrow). The yellow arrow illustrates the oral contrast within the gastric tube.
Figure 3
Figure 3. Abdominal CT scan image (coronal view) showing the fluid collection next to the upper lateral aspect of the gastric tube extending to the left subdiaphragmatic region with multiple air bubbles.
Figure 4
Figure 4. An endoscopic image showing the prominent mucosal fold or the flap overlying the perforation at the esophagogastric junction (the white arrow).
Figure 5
Figure 5. An endoscopic image showing the Resolution clips (the white arrow) and the tissue adhesive between the clips (the yellow arrow).
Figure 6
Figure 6. An oral contrast study with gastrografin after two months showing no leak from the gastric remnant.
Figure 7
Figure 7. Abdominal CT scan images (axial views with the patient in left lateral position) showing complete resolution of the left subdiaphragmatic collection with no obvious contrast leak from the gastric tube (the white arrows).
See this image and copyright information in PMC

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