Endoluminal endoscopic technologies in the treatment of complications after bariatric interventions

Purpose of the study. Demonstration of the experience of successful treatment of patients with the failure of the stapler suture line using various endoscopic technologies. Material and methods. In the period from December 2023 to January 2024, a 46-year-old patient with a body mass index of 51.3 and a 40-year-old patient with a body mass index of 49.3 were treated at the Vishnevsky National Research Medical Center for Surgery, who underwent laparoscopic sleeve gastric resection for morbid obesity. Results. In the first clinical observation, on the 4th day after surgery, the inconsistency of the stapler suture line was revealed. Taking into account the remaining area of failure of the stapler seam line after drainage under ultrasound control, the defect was closed using an OVESCO endoscopic clip. In the second clinical observation, due to the formation of a large cavity with a diameter of 9 cm, a vacuum aspiration system was installed. Subsequently, after removal of the vacuum aspiration system, due to the persistent defect in the wall of the stomach stump, the defect was also closed using an OVESCO endoscopic clip. Conclusion. Our study demonstrates the possibilities of intraluminal endoscopic technologies in the treatment of bariatric patients with staple suture line failure. Thus, the endoscopic approach in the treatment of patients with failure of the stapler suture line after bariatric interventions is a modern minimally invasive technique and an alternative to surgical interventions, provided adequate sanitation and drainage of abdominal congestion.