Case demonstrates successful management of gastric leak in patient using endoscopic techniques, highlighting individualized approaches.
Gastric leak after laparoscopic sleeve gastrectomy (SG) is a rare but life-threatening complication requiring timely diagnosis and coordinated multidisciplinary management. Therapeutic options include conservative treatment, percutaneous drainage, endoscopic interventions, and surgical revision. This case describes an early gastric leak successfully managed through a step-up approach combining conservative stabilization, over-the-scope clip (OTSC) closure, and laparoscopic drainage. The case highlights the importance of individualized treatment strategies and the role of minimally invasive endoscopic techniques in selected patients.
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Marinov et al. (2026) studied this question.
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