ABSTRACT Sleeve gastrectomy–transit bipartition is an effective metabolic surgery for obesity, offering significant weight loss and comorbidity resolution. Although generally safe, complications such as fistula, bleeding, or abscess may occur. Fistula remains a major challenge, often requiring endoscopic management. Endoscopic internal drainage using double-pigtail plastic stents has emerged as a minimally invasive and effective option, although stent-related adverse events, including migration or intestinal perforation, can occur. Colonic perforation from plastic stents is extremely rare, with only 59 cases reported. This case describes a late colonic perforation successfully managed endoscopically using a metallic clip, avoiding surgical intervention and achieving complete recovery.
Oliveira et al. (Sun,) studied this question.