Gastric Per-Oral Endoscopic Myotomy for Treatment of Chronic Proximal Staple Line Leak Precipitated by Downstream Stenosis

Linda Y. Zhang, Fazel Dinary, Jad Farha, Mohamad I. Itani, Rahul Singh, Mouen A. Khashab, Vivek Kumbhari

Research output: Contribution to journalArticlepeer-review

Abstract

Laparoscopic sleeve gastrectomy is now the most commonly performed bariatric surgery. Although considered a safe procedure, adverse events such as staple line leak in the context of sleeve stenosis can result in significant patient morbidity and health economic burden. Correction of the downstream stenosis is mandatory for closure of the staple line leak. Conventional endoscopic therapies offer high initial success rates, though ultimately a significant proportion proceed to revision surgery. Gastric per-oral endoscopic myotomy (G-POEM) is a novel, minimally invasive procedure which allows for a full-thickness myotomy of the stenosed segment, potentially conferring similar anatomical correction to surgical seromyotomy. We present a case of recalcitrant chronic proximal staple line leak in the context of a downstream gastric stenosis managed by G-POEM.

Original languageEnglish (US)
Pages (from-to)3347-3352
Number of pages6
JournalObesity Surgery
Volume31
Issue number7
DOIs
StatePublished - Jul 2021

Keywords

  • Bariatric surgery
  • Gastric per-oral endoscopic myotomy (G-POEM)
  • Gastric sleeve leak
  • Gastric sleeve stenosis
  • Myotomy

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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