Esophageal Stricture Due to a Self-Expandable Metal Stent (SEMS) Placement for Post Sleeve Gastrectomy Leak: a Case Report

Excerpt

Obesity is a major health concern worldwide [1]. Surgery is still the most efficient and sustainable treatment for patients with morbid obesity [2, 3]. Due to its reputed simplicity and low morbidity rate [3, 4], sleeve gastrectomy (SG) has become the most commonly performed bariatric procedure, both in France and worldwide [3]. However, staple-line leak at the gastroesophageal junction is still the most dreaded complication of SG, occurring in up to 3% of patients [5, 6]. The challenging management of post SG leaks (SGL) is initially based on interventional endoscopy. Even if outdated by endo-luminal pigtail (PTD) and naso-cavitary drains, esophageal self-expandable metal stents (SEMS) are still considered a valuable non-operative treatment option in patients with SGL [7]. Reported complications of SEMS include migration [6], bleeding, ingrowth obstruction, stripping, and perforation [8‐11]. …