Novel suture placement to affix overlapping metal stents in the treatment of an acute leak after sleeve gastrectomy

Abstract

Vertical sleeve gastrectomy (VSG) is an effective option for bariatric surgery, with weight loss comparable to that with Roux-en-Y gastric bypass. 1 Staple line leaks are rare but morbid adverse events after VSG. Early leaks are often treated with placement of fully covered self-expandable metal stents (FCSEMSs), although migration rates of 22% to 28% have been reported. 2,3 We present a novel method for endoscopic fixation of overlapping stents to treat a leak after VSG and to minimize migration risk.