Obesity Surgery

, Volume 29, Issue 6, pp 1943–1945 | Cite as

Esophageal Stricture Due to a Self-Expandable Metal Stent (SEMS) Placement for Post Sleeve Gastrectomy Leak: a Case Report

  • Nader El Kary
  • Elias ChahineEmail author
  • Frédérick Moryoussef
  • René-Louis Vitte
  • Marc-Anthony Chouillard
  • Andrew Gumbs
  • Elie Chouillard
Letter to the Editor


Obesity is a major health concern worldwide [1]. Surgery is still the most efficient and sustainable treatment for patients with morbid obesity [2, 3]. Due to its reputed simplicity and low morbidity rate [3, 4], sleeve gastrectomy (SG) has become the most commonly performed bariatric procedure, both in France and worldwide [3]. However, staple-line leak at the gastroesophageal junction is still the most dreaded complication of SG, occurring in up to 3% of patients [5, 6]. The challenging management of post SG leaks (SGL) is initially based on interventional endoscopy. Even if outdated by endo-luminal pigtail (PTD) and naso-cavitary drains, esophageal self-expandable metal stents (SEMS) are still considered a valuable non-operative treatment option in patients with SGL [7]. Reported complications of SEMS include migration [6], bleeding, ingrowth obstruction, stripping, and perforation [8, 9, 10, 11].

We hereby present the case of a patient with SGL who had a severe...


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

For this type of study, formal consent is not required.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of General and Digestive Surgery, Bariatric Surgery UnitPoissy Saint Germain Medical CenterPoissyFrance
  2. 2.Service de Chirurgie Générale et DigestiveCentre Hospitalier de Poissy-Saint GermainPoissyFrance
  3. 3.Department of Gatsroenterology and Liver Disease, Interventional Endoscopy UnitPoissy Saint Germain Medical CenterPoissyFrance

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