Massive Gastrointestinal Bleeding Due to Splenic Artery Erosion by a PigTail Drain in a Post Sleeve Gastrectomy Leak: a Case Report
Digestive leak remains the main complication following surgery for morbid obesity, with an incidence rate of 1 to 5%, and a potential mortality rate between 0.1 and 5% [1, 2]. Historically, the management of leaks occurring after sleeve gastrectomy (SG) involved closure devices, including endoclips, over-the-scope clips and glue, or exclusion devices like self-expandable metallic stents (SEMS) [3, 4, 5, 6]. The rate of success of these approaches averaged 70% [5, 6]. However, these commonly required several endoscopic sessions, numerous hospitalizations, and produced significant discomfort for the patients. More specifically, SEMS could lead to serious complications including migration, bleeding, ingrowth, or even perforation or stripping in up to 6% of cases .
More recently, the initial management of post sleeve gastrectomy leak (SGL) has shifted towards internal endoscopic drainage (IED) using either nasocavity drains and/or pigtail drains (PTD) placed throughout the...
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The authors declare that they have no conflict of interest.
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Informed consent was obtained from all individual participants included in the study.