he authors set a goal to improve the results of treatment in patients with staple line failure after bariatric surgery using various endoscopic techniques. Based on four clinical cases an algorithm for the sequence of actions was created. The authors used vacuum aspiration, stent placement, as well as sealing the organ defect with bioglue. In all four cases, it was possible to successfully cope with the staple line failure and prevent the progression of peritonitis. As a result of the study, the authors conclude that several endoscopic treatments can be considered in tandem or in combination. The treatment of this category of patients should be interdisciplinary and include an adequate timing.

The authors conducted a single-center clinical study of the effectiveness of endoscopic vacuum therapy for suture failure after bariatric surgery. The algorithm of actions was proposed, and the manipulations technique was described. Vacuum therapy was used in combination with a polyurethane obturator. The effectiveness of the technique was confirmed by positive results with the recovery of 8 patients. Endoscopic vacuum treatment of suture failure within the proposed algorithm is an effective method for treating the life-threatening complication of bariatric surgery.