Endo-Vac-Therapy for Post-Sleeve Gastrectomy Leaks

Endoscopic Negative Pressure Therapy for Post-sleeve Gastrectomy Proximal Staple Line Leaks

Endoscopic negative pressure therapy (ENPT) is a safe technique, showing promising results in the treatment of leakages of the upper and lower gastrointestinal tract. The purpose of this study is to determine the safety and efficacy of ENPT in the management of proximal staple line leak after sleeve gastrectomy.

Clinical data of 40 cases of post-SG proximal staple line leak treated with ENPT are analysed. Success is defined as resolution of the fistula with no further need for intervention (surgical or endoscopic).

Inclusion Criteria:

• Staple line leak detected by endoscopy and/or CT within 30 days after surgery.
• Age 18 years or older.
• Written informed consent.

Exclusion Criteria:

• Declined informed consent.
• Leaks detected later than 30 days after surgery.