title: Endoscopic management of a gastric leak after laparoscopic sleeve gastrectomy using the over-the-scope-clip (Ovesco®) system.
abstract: 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.
authors: Servicio de Cirugía General y del Aparat Digestivo, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas. Las Palmas de Gran Canar, España.
authors: Yurena
authors: Y
authors: Caballero
authors: Cirugía General y Digestiva, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas. Las Palmas de Gran Canar.
authors: Eudaldo
authors: E
authors: López-Tomassetti
authors: Medicina del Aparato Digestivo, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas. Las Palmas de Gran Canar.
authors: Ana
authors: A
authors: Castellot
authors: Cirugía General y Digestiva, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas. Las Palmas de Gran Canar.
authors: Juan Ramón
authors: JR
authors: Hernández
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome