Esophageal Stricture Due to a Self-Expandable Metal Stent (SEMS) Placement for Post Sleeve Gastrectomy Leak: a Case Report
- 103 Downloads
Obesity is a major health concern worldwide . 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 . 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 Even if outdated by endo-luminal pigtail (PTD) and naso-cavitary drains, esophageal self-expandable metal stents (SEMS) are still considered a valuable non-operative treatment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 . Reported complications of SEMS include migration , 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.
For this type of study, formal consent is not required.
Informed consent was obtained from all individual participants included in the study.
- 2.Courcoulas AP, Yanovski SZ, Bonds D, et al. Long-term outcomes of bariatric surgery: a National Institutes of Health symposium. JAMA Surg. 2014;149:1323e9.Google Scholar
- 6.Galloro G, Ruggiero S, Russo T, et al. Staple-line leak after sleeve gastrectomy in obese patients: a hot topic in bariatric surgery. World J Gastrointest Endosc. 015(7):843e6.Google Scholar