Abstract

CABALLERO, Yurena; LOPEZ-TOMASSETTI, Eudaldo; CASTELLOT, Ana  and  HERNANDEZ, Juan Ramón. Endoscopic management of a gastric leak after laparoscopic sleeve gastrectomy using the over-the-scope-clip (Ovesco^®) system. Rev. esp. enferm. dig. [online]. 2016, vol.108, n.11, pp.746-750. ISSN 1130-0108.  https://dx.doi.org/10.17235/reed.2016.3901/2015.

Laparoscopic sleeve gastrectomy is currently used for the management of morbid obesity. Gastric fistula is the primary life-threatening complication, and its resolution continues to be a strong challenge for surgeons. Multiple treatment options are available, ranging from conservative therapy to endoscopic use of clips or stents, and even surgical reoperation involving total gastrectomy or conversion to a different bariatric technique. The applicability of each individual option will depend on the type of fistula and the patient clinical status. A clinical case is reported of a 29-year-old male patient with a body mass index at 49% who following laparoscopic sleeve gastrectomy had a delayed gastric fistula that failed to respond to conservative management but was successfully treated using the over-the-scope clip (Ovesco^®) system.

Keywords : Ovesco^®; Gastric fistula; Obesity; Sleeve gastrectomy.

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