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DOI: 10.1055/s-0040-1704423
ENDOSCOPIC INTERNAL DRAINAGE (EID) OF SUTURE-LINE DEHISCENCE POST-LAPAROSCOPIC GASTRIC SLEEVE (LGS): SIMPLER THAN ENDOSCOPIC VACUUM THERAPY (EVT) AND MORE EFFECTIVE THAN INTRALUMINAL COVERED SEMS
Publication History
Publication Date:
23 April 2020 (online)
Introduction EVT improves outcomes over SEMS for endotherapy of postoperative leaks but requires repeated procedures. We show simplified EID using transmural double-pig-tail stents.
Description Acute post-LSG leak shown on abdominal CT. Endotherapy included EID and 35-mm balloon dilatation of antral stricture. Guidewire was passed at EGD into perigastric collection through suture-line defect. Following wire-guided balloon dilation: abscessoscopy, saline irrigation and placement of two 7F-pigtail stents. 12-weeks later, pig-tail-stents were removed and resolution was confirmed at EGD.
Conclusions An acute infradiaphragmatic post-LSG leak was effectively managed by EID with two double pigt-tail stents requiring just two EGD with minimal patient discomfort.
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