Endoscopic Vacuum Therapy for Staple Line Leaks after Sleeve Gastrectomy

  • Rami Archid
  • Dörte WichmannEmail author
  • Wilfried Klingert
  • Giorgi Nadiradze
  • Felix Hönes
  • Nicole Archid
  • Ahmed E. Othman
  • Suhaib J. S. Ahmad
  • Alfred Königsrainer
  • Jessica Lange
Original Contributions



Management of staple line leaks (SLL) after sleeve gastrectomy (SG) is challenging. The aim of this study was to evaluate the effectiveness of a novel endoscopic vacuum therapy (EVT) modality in the management of sleeve leaks.

Materials and Methods

Eight patients were treated with EVT for SLL. Therapy data and outcome measures including duration of therapy, therapy success, and change of treatment strategy were collected and analyzed.


During the study period, SLL occurred in 1.6% of patients who underwent SG. After 9.8 ± 8.6 days of EVT, 3.3 ± 2.2 endoscopies, and 19 ± 15.1 days of hospitalization, endoscopic treatment using EVT was successful in seven out of eight patients (87.5%).


EVT is an effective method for the management of staple line leaks after sleeve gastrectomy. The use of the intraluminal open-pore film drainage (OFD) could be considered as an advantageous modality of EVT, regarding placement and complications.


Endoscopic vacuum therapy (EVT) Open-pore film drainage (OFD) Bariatric surgery Sleeve gastrectomy Complications management 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest

Ethical Approval

The local ethic committee at the University Hospital of Tübingen, Germany, approved this study.


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Copyright information

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

Authors and Affiliations

  • Rami Archid
    • 1
  • Dörte Wichmann
    • 1
    Email author
  • Wilfried Klingert
    • 1
  • Giorgi Nadiradze
    • 1
  • Felix Hönes
    • 1
  • Nicole Archid
    • 1
  • Ahmed E. Othman
    • 2
  • Suhaib J. S. Ahmad
    • 3
  • Alfred Königsrainer
    • 1
  • Jessica Lange
    • 1
  1. 1.Department for General, Visceral and Transplant SurgeryEberhard-Karls-University TübingenTübingenGermany
  2. 2.Department for Diagnostic and Interventional RadiologyEberhard-Karls-University Hospital TübingenTübingenGermany
  3. 3.School of MedicineUniversity of BuckinghamBuckinghamUK

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